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CompletedNCT03169062Updated Feb 11, 2020Results posted

Evaluation of Coronary Artery Calcification Using Gated Stationary Chest Tomosynthesis

An interventional study of Gated Stationary Chest Tomosynthesis in Coronary Artery Disease, sponsored by University of North Carolina, Chapel Hill. Completed at 1 site in United States. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2020-02-11.

Sponsored by University of North Carolina, Chapel Hill · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 100 Years
Sex
All
01

Study summary

The purpose of this study is to propose a new method for evaluating coronary artery calcium scores (CACS) in individuals with coronary artery disease.

Read the detailed description

The proposed research, if successfully implemented, will result in a new method for evaluating coronary artery calcium scores (CACS) in individuals with coronary artery disease. Using the Cardiac Gated Stationary Chest Tomosynthesis (CG-SDCT) system the imaging dose for a a full tomosynthesis scan is expected to be only 10% of that from a low-dose CT. The targeted imaging time of 25-30 seconds is 1/2 of that from a current commercial DCT system at the same imaging dose. As with current commercial DCT systems, our s-DCT system will expose patients to less radiation and deliver comparable data for CACS. CG-SDCT will likely result in accurate CAC scoring and allow for a more complete patient risk assessment as compared to Framingham risk scoring alone.

02

Conditions studied

  • Coronary Artery Disease
03

In context

Coronary Artery Disease

5,598 studies on the registry are indexed under Coronary Artery Disease; 957 are open to participants now.

This study's enrollment of 10 is below the median of 124 across 3,436 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,340 studies on the registry; 133 are open to participants now.

Of its 155 completed or terminated interventional studies of FDA-regulated products, 136 (88%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age range: ≥18 years of age
  2. Intermediate Framingham Risk Score of 10 to 20% risk over the next 10 years
  3. Previous non-contrast enhanced chest CT in a time frame that will accommodate experimental imaging (CG-SDCT) within 4 weeks. This imaging may have already been completed at the time of enrollment or may be scheduled in the future at the time of enrollment.
  4. IRB written informed consent obtained and signed Exclusion Criteria
  5. Negative urine pregnancy test in women of child-bearing potential (WCBP) within 1 week prior to s-DCT.

Exclusion criteria

Exclusion Criteria:

  1. Unable to provide consent
  2. Pregnant or lactating
  3. BMI > 33 (Patient who may not fit on a 35 x 35 detector) (Images are not clear on subjects who have a greater than 33 BMI)
  4. Previous history of MI or thoracic surgery.
  5. Disability that could interfere with the scanning process, non-ambulatory or unable to hold their breath for up to 30 seconds.
  6. Planned procedures or therapies in between non-contrast CT scan and study Chest tomosynthesis scan, e.g., line placement in the chest region, biopsy, etc.
05

Study design

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

Study arms

  • Experimental
    All patients

    Gated Stationary Chest Tomosynthesis

    Device: Gated Stationary Chest Tomosynthesis

Interventions

  • DeviceGated Stationary Chest Tomosynthesis

    The technologist will comfortably position the patient laying face up on the imaging table. EKG leads will be placed in appropriate positions to derive an EKG signal. The EKG will be used to trigger the image collection. The subject will be asked to hold his or her breath for 25-30 seconds during the scan. Total patient preparation and imaging time should not exceed 20 minutes.

06

What researchers measure

Primary outcomes

  1. Comparison of CT Derived CACS and Tomosynthesis Scores Correlation

    Linear regression and Bland-Altman analysis will be used to examine the relationship between the CT derived CACS and tomosynthesis scores to determine the correlation

    Time frame: 1 year

Secondary outcomes

  1. Mean Correlation Coefficient of Gating

    The 30 ms cardiac EKG trace will be extracted for each of the projections. Then, a Pearson correlation coefficient will be calculated for each of the projections relative to the first x-ray projection. The mean of the Pearson correlation coefficients will then calculated and served as an estimate of the timing precision of each projection set for each patient. The mean and standard deviation of the correlation coefficients will be reported.

    Time frame: At the conclusion of all data collection, 6 months post study completion

07

Results

Posted Feb 11, 2020

Participant flow

Participant flow — Overall Study
MilestoneAll Patients
Started10
Completed10
Not completed0

Outcome measures

PrimaryComparison of CT Derived CACS and Tomosynthesis Scores Correlation

Linear regression and Bland-Altman analysis will be used to examine the relationship between the CT derived CACS and tomosynthesis scores to determine the correlation

Time frame:
1 year

No measurements were reported for this outcome.

SecondaryMean Correlation Coefficient of Gating

The 30 ms cardiac EKG trace will be extracted for each of the projections. Then, a Pearson correlation coefficient will be calculated for each of the projections relative to the first x-ray projection. The mean of the Pearson correlation coefficients will then calculated and served as an estimate of the timing precision of each projection set for each patient. The mean and standard deviation of the correlation coefficients will be reported.

Time frame:
At the conclusion of all data collection, 6 months post study completion
Reported as:
Mean · unitless
Mean Correlation Coefficient of Gating
unitlessAll Patients
Mean Correlation Coefficient of Gating0.87 ± 0.09

Adverse events

Collected over 1 day. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Patients0/10 (0%)0/10 (0%)0/10 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)All Patients
<=18 years0
Between 18 and 65 years1
>=65 years9
Age, Continuous
Age, Continuous(years)All Patients
Mean76 ± 14
Sex: Female, Male
Sex: Female, Male(Participants)All Patients
Female4
Male6
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)All Patients
Hispanic or Latino0
Not Hispanic or Latino10
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)All Patients
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White9
More than one race0
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(Participants)All Patients
United States10
08

Study locations

1 site
  • University of North Carolina of Chapel hill
    Chapel Hill, North Carolina 27599-7510, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Jan 15, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03169062
Lead sponsor
University of North Carolina, Chapel Hill
Responsible party
Sponsor
First posted
May 30, 2017
Start date
Jun 26, 2017
Primary completion
Apr 10, 2019
Completion
Apr 10, 2019
Results posted
Feb 11, 2020
Last update
Feb 11, 2020

Study contacts

Yueh Lee, M.D
principal investigator · University of North Carolina of Chapel hill

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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