ClinicalTrials.gg
CompletedNCT03291964Updated Jan 26, 2023Results posted

Rapid MRI for Acute Pediatric Head Trauma

An observational study in Head Trauma and Image, Body, sponsored by Oregon Health and Science University. Completed at 1 site in United States. Open to participants aged 0 Years to 14 Years. Per ClinicalTrials.gov, last updated 2023-01-26.

Sponsored by Oregon Health and Science University · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
76
Ages
0 Years to 14 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 95 studies in Craniocerebral Trauma with a site in United States — 12 open to participants now, 17 under way, none of them phase 3. Craniocerebral Trauma · United States.

Enrollment
24th of 33
76 · median 192
Started
2017
with 6 others
Observational
33 of 95
3 open now
Registered
53rd of 95
by date

Among the 95 studies in Craniocerebral Trauma with a site in United States, this one is the 24th largest by enrollment of the 33 observational ones that give a count, is one of 7 that started in 2017, is one of 33 observational ones, and was the 53rd registered.

Craniocerebral Trauma

253 studies on the registry are indexed under Craniocerebral Trauma; 45 are open to participants now.

Browse Craniocerebral Trauma studies →

Open to participants now

12 of the 95 studies in Craniocerebral Trauma with a site in United States are open now. Recruiting first, the newest first:

7 more — sign in →

All 12 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 25 Craniocerebral Trauma studies recruiting now, 8 (32%) set no upper age limit and 14 (56%) stop at 75 or younger; 8 take children under 18; 1 takes healthy volunteers.

This study: 0 Years to 14 Years · all sexes.

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02

Study summary

Pediatric head trauma is a leading cause of morbidity and mortality for children/adolescents. The current standard of care regarding imaging modality when concerned for an acute head injury is CT. This exposes children to radiation that may predispose to future malignancy. Rapid MRI is a test that eliminates radiation and has expanded uses in multiple other areas. This study is evaluating it for pediatric acute head trauma.

Read the detailed description

Initial retrospective study suggests that QbMRI has adequate sensitivity to detect acute ciTBIs in children. This preliminary study included all pediatric trauma patients presenting to OHSU from 2/2010 through 12/2013 who had both a head CT and QbMRI. The current standard of care in the pediatric ICU at OHSU is for patients admitted with an acute head injury to undergo routine QbMRI follow up to assess status of the injury rather than a repeat head CT. Our study team collected clinical data on these patients that included clinical interventions and then de-identified all head CT and QbMRI images for this cohort. The images were then independently reviewed by 2 neuroradiology fellows at OHSU (Please refer to Figure 1). The sensitivity of QbMRI to detect any radiographic injury was 85% (95% CI: 73, 93), but increased when evaluating clinically important TBIs to 100% (95% CI: 89, 100). The largest limitation of this study was the variable and often long time interval between acquisition of the head CT and QbMRI. The average length of time between the initial head CT and QbMRI was 27.5 hours with only 41% receiving both imaging tests within 12 hours of each other. Also, preliminary data was collected by retrospective review. As such, it is very promising that initial study had high sensitivity, but further prospective pilot data with a shorter interval between the index and reference test is needed to assess the discrepancy between the two types of lesions (radiographic vs clinically important) and feasibility of obtaining qbMRI in the setting of acute pediatric head trauma. While this study did not miss any clinically important TBIs, on further review of radiographic "missed lesions", the study pediatric neurosurgeon noted signs of a healing bleed. This may suggest that they were "missed" because they were healed rather than present and not seen. All patients that did not have a lesion identified on QbMRI did not require significant clinical interventions and only underwent periods of observation in the hospital. However, this raises the need for a prospective trial to obtain QbMRI imaging within the same time frame sequentially after the initial head CT.

03

Conditions studied

  • Head Trauma
  • Image, Body

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04

Who can participate

Ages eligible
0 Years to 14 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

All pediatric trauma patients being evaluated with a head CT for acute intracranial injury

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. The patient presents to the pediatric emergency department or trauma system at OHSU or is a trauma system transfer patient to OHSU
  2. Age 0-14 years.
  3. Being evaluated for a traumatic head injury and attending physician decides to obtain a head CT.
  4. Clinically stable for additional testing: provider deems it safe to obtain a QbMRI in the ED without deep sedation

Exclusion criteria

Exclusion Criteria:

  1. Subject is from outside hospital and head CT was performed greater than 6 hours prior
  2. Subject is from outside hospital and initial head CT is not in our imaging system for review
  3. History of intracranial surgery
  4. History of metallic implants making MRI
  5. Decompressive surgery prior to QbMRI
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
76 participants (actual)
Patient registry
No

Interventions

  • Diagnostic testRapid Brain MRI

    Children undergoing head CT for evaluation of acute head injury will also undergo rapid brain MRI with GRE sequence that is specific for blood. Their clinical care will not change at all based on the MRI.

06

What researchers measure

Primary outcomes

  1. Sensitivity: Percentage of MRIs Correctly Identifying Clinically Important Intracranial Injury (True Positives)

    Sensitivity of Rapid MRI for detection of a clinically important intracranial injury: Percentage of MRIs identifying clinically important intracranial injury. Sensitivity was calculated as the number of true positives divided by "true positive plus false negative". True positive was defined based on meeting clinical criteria for a clinically important TBI and if the imaging found the injury.

    Time frame: within 6 hours from the initial head CT

Secondary outcomes

  1. Time From Order to Obtaining MRI

    minutes

    Time frame: During initial ER stay within 3 hours from time of entry to the ER

  2. Need for Anxiolysis Medication (Defined as Benzodiazepines for Imaging Indication)

    Number of patients requiring medication to obtain imaging

    Time frame: During initial ER stay within 3 hours from time of entry to the ER

07

Results

Posted Jan 26, 2023

Participant flow

Participant flow — Overall Study
MilestoneQuick Brain
Started73
Completed73
Not completed0

Outcome measures

PrimarySensitivity: Percentage of MRIs Correctly Identifying Clinically Important Intracranial Injury (True Positives)

Sensitivity of Rapid MRI for detection of a clinically important intracranial injury: Percentage of MRIs identifying clinically important intracranial injury. Sensitivity was calculated as the number of true positives divided by "true positive plus false negative". True positive was defined based on meeting clinical criteria for a clinically important TBI and if the imaging found the injury.

Time frame:
within 6 hours from the initial head CT
Reported as:
Number · Percentage of MRIs correctly identifying
Sensitivity: Percentage of MRIs Correctly Identifying Clinically Important Intracranial Injury (True Positives)
Percentage of MRIs correctly identifyingQuick Brain
Sensitivity: Percentage of MRIs Correctly Identifying Clinically Important Intracranial Injury (True Positives)70
SecondaryTime From Order to Obtaining MRI

minutes

Time frame:
During initial ER stay within 3 hours from time of entry to the ER

Results for this outcome have not been posted.

SecondaryNeed for Anxiolysis Medication (Defined as Benzodiazepines for Imaging Indication)

Number of patients requiring medication to obtain imaging

Time frame:
During initial ER stay within 3 hours from time of entry to the ER

Results for this outcome have not been posted.

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Quick Brain0/73 (0%)0/73 (0%)0/73 (0%)

Baseline characteristics

children being evaluated in the ED for head trauma.

Age, Categorical
Age, Categorical(Participants)Quick Brain
<=18 years73
Between 18 and 65 years0
>=65 years0
Age, Continuous
Age, Continuous(years)Quick Brain
Mean4.0 (1 to 10)
Sex: Female, Male
Sex: Female, Male(Participants)Quick Brain
Female38
Male35
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Quick Brain
Hispanic or Latino0
Not Hispanic or Latino0
Unknown or Not Reported73
Region of Enrollment
Region of Enrollment(participants)Quick Brain
United States73
08

Study locations

1 site
  • OHSU
    Portland, Oregon 97239, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2017 to primary completion in Aug 2019, 22 months.

Results were first posted in Jan 2023, 3 years 5 months after primary completion.

Of 43 non-industry observational studies under Craniocerebral Trauma, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 49. This study's 22 months is below that.

Counting every sponsor, half of 43 studies reached it within 32 months; a quarter within 15 and three quarters within 49.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 27, 2017
First posted
Sep 25, 2017
StartActual
Sep 3, 2017
Primary completionActual
Aug 1, 2019
CompletionActual
Dec 1, 2019
Results first posted
Jan 26, 2023
Last update
Jan 26, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 26, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03291964
Responsible party
Dr. David Sheridan (Assistant Professor of Emergency Medicine/Pediatrics, Oregon Health and Science University) — Principal investigator
First posted
Sep 25, 2017
Start date
Sep 3, 2017
Primary completion
Aug 1, 2019
Completion
Dec 1, 2019
Results posted
Jan 26, 2023
Last update
Jan 26, 2023

Study contacts

David Sheridan, MD MCR
principal investigator · Oregon Health and Science University

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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