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CompletedNCT00576147Updated Nov 7, 2018Results posted

A Multi-Center Study of Near-Infrared Spectroscopy (NIRS) for Hematoma Detection

An interventional study of Infrascanner in TBI (Traumatic Brain Injury), sponsored by InfraScan, Inc.. Completed at 4 sites in United States. Per ClinicalTrials.gov, last updated 2018-11-07.

Sponsored by InfraScan, Inc. · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
431
Allocation
Not applicable
Sex
All
01

Study summary

The purposes of this study are:

  1. To determine the sensitivity and specificity of the Near-Infrared Spectroscopy (NIRS) measurements for identifying intracranial hematomas due to trauma.
  2. To determine the reproducibility of the Near-Infrared Spectroscopy (NIRS) measurements with different operators and at different centers
Read the detailed description

The principle used in identifying intracranial hematomas with Near-infrared spectroscopy (NIRS) is that extravascular blood absorbs Near-infrared light more than intravascular blood since there is a greater (usually 10-fold greater) concentration of hemoglobin in the acute hematoma then in the brain tissue where blood is contained within vessels. Therefore, the absorbance of Near-infrared light is greater (and therefore the reflected light less) on the side of the brain containing a hematoma, than on the uninjured side.

The NIRS sensor is placed successively in the left and right frontal, temporal, parietal, and occipital areas of the head and the absorbance of light at selected wavelengths is recorded. The difference in optical density in the different areas is calculated.

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Conditions studied

  • TBI (Traumatic Brain Injury)

Keywords

  • TBI
  • NIRS
  • Hematoma
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In context

Brain Injuries

2,113 studies on the registry are indexed under Brain Injuries; 385 are open to participants now.

This study's enrollment of 431 is above the median of 48 across 1,331 interventional studies indexed under Brain Injuries.

Browse Brain Injuries studies →

Lead sponsor

InfraScan, Inc. is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Undergoing a CT scan within 12 hours of their head injury. The criteria for obtaining a CT scan will be based on the standard of care, but generally all patients with a moderate or severe head injury will receive a CT scan on admission to the hospital, and only patients who undergo a CT will be enrolled into the study. The non-contrast CT will be performed according to standard methods.

Exclusion criteria

Exclusion Criteria:

  • 12 hours or more since injury.
  • Massive scalp lacerations, avulsions, and hematomas The limitation to injury within 12 hours is necessary because as hematoma blood is metabolized, the absorbance characteristics change.
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
431 participants (actual)

Study arms

  • Experimental
    CT scan

    The standard head CT done to head trauma patients

    Device: Infrascanner

Interventions

  • DeviceInfrascanner

    The main Near-Infrared spectroscopy (NIRS) head measurement

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What researchers measure

Primary outcomes

  1. 1) Sensitivity of the Near-Infrared Spectroscopy (NIRS) Measurements for Identifying Intracranial Hematomas Due to Trauma. 2) Specificity of the Near-Infrared Spectroscopy (NIRS) Measurements for Identifying Intracranial Hematomas Due to Trauma.

    We will report Sensitivity and Specificity of NIRS device as compared to CT scanner to detect hematomas of more than 3.5 mL in volume and less than 2.5 cm from the surface of the brain. Sensitivity is the ratio between true positives to all positive measurements. Specificity is the ratio between true negatives to all negative measurements.

    Time frame: 2 years

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Results

Posted Dec 20, 2013

Participant flow

Near-Infrared examinations performed on all patients within 30 minutes before the CT scan of the head and within 12 hours of their head injury

Participant flow — Overall Study
MilestoneCT Scan
Started431
Completed431
Not completed0

Outcome measures

Primary1) Sensitivity of the Near-Infrared Spectroscopy (NIRS) Measurements for Identifying Intracranial Hematomas Due to Trauma. 2) Specificity of the Near-Infrared Spectroscopy (NIRS) Measurements for Identifying Intracranial Hematomas Due to Trauma.

We will report Sensitivity and Specificity of NIRS device as compared to CT scanner to detect hematomas of more than 3.5 mL in volume and less than 2.5 cm from the surface of the brain. Sensitivity is the ratio between true positives to all positive measurements. Specificity is the ratio between true negatives to all negative measurements.

Time frame:
2 years
Reported as:
Number · Number of participants
1) Sensitivity of the Near-Infrared Spectroscopy (NIRS) Measurements for Identifying Intracranial Hematomas Due to Trauma. 2) Specificity of the Near-Infrared Spectroscopy (NIRS) Measurements for Identifying Intracranial Hematomas Due to Trauma.
Number of participantsCT Scan
True Positive44 (74.9 to 95.0)
False Positive25
True Negatives244
False Negatives6
Statistical analysis
  • CT Scan · Percent sensitivity: 88 · 95% CI 75.0 to 95.0
  • CT Scan · Percent specificity: 90.7 · 95% CI 86.4 to 93.7

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CT Scan—0/431 (0%)0/431 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)CT Scan
<=18 years46
Between 18 and 65 years333
>=65 years52
Age, Continuous
Age, Continuous(years)CT Scan
Mean36.7 ± 26
Sex: Female, Male
Sex: Female, Male(Participants)CT Scan
Female108
Male323
Region of Enrollment
Region of Enrollment(participants)CT Scan
United States306
India125
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Study locations

4 sites
  • Johns Hopkins University
    Baltimore, Maryland 21231, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267, United States
  • The Hospital of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Baylor College of Medicine
    Houston, Texas 77030, United States
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References and documents

Publications

  • Robertson CS, Gopinath S, Chance B. Use of near infrared spectroscopy to identify traumatic intracranial hemotomas. J Biomed Opt. 1997 Jan;2(1):31-41. doi: 10.1117/12.261680. No abstract available. PubMed 23014820 ↗
  • Gopinath SP, Robertson CS, Grossman RG, Chance B. Near-infrared spectroscopic localization of intracranial hematomas. J Neurosurg. 1993 Jul;79(1):43-7. doi: 10.3171/jns.1993.79.1.0043. PubMed 8315468 ↗
  • Robertson CS, Zager EL, Narayan RK, Handly N, Sharma A, Hanley DF, Garza H, Maloney-Wilensky E, Plaum JM, Koenig CH, Johnson A, Morgan T. Clinical evaluation of a portable near-infrared device for detection of traumatic intracranial hematomas. J Neurotrauma. 2010 Sep;27(9):1597-604. doi: 10.1089/neu.2010.1340. PubMed 20568959 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 7, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00576147
Lead sponsor
InfraScan, Inc.
Responsible party
Sponsor
First posted
Dec 18, 2007
Start date
Jul 2006
Primary completion
Jan 2011
Completion
Jan 2011
Results posted
Dec 20, 2013
Last update
Nov 7, 2018

Study contacts

Claudia Robertson, MD
principal investigator · Professor Medical Director, The Center for Neurosurgical Intensive Care, Ben Taub Hospital, Houston, Texas

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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