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CompletedNCT04981223Updated May 28, 2026Results posted

Predicting Location and Extent of Prostate Cancer Using Micro-Ultrasound Imaging

An interventional study of ExactVu in Prostate Cancer, sponsored by Stanford University. Completed at 1 site in United States. Open to male participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2026-05-28.

Sponsored by Stanford University · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
95
Allocation
Not applicable
Ages
18 Years to 89 Years
Sex
Male
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Study summary

The goal of this study is to use a clinical micro-ultrasound to systematically image the prostate before biopsy or surgery. The images from the ultrasound system will be saved and compared to other imaging modalities and pathology in order to develop better tools.

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Conditions studied

  • Prostate Cancer

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03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's enrollment of 95 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Stanford University is the lead sponsor of 2,117 studies on the registry; 425 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 197 (76%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Scheduled for MR-US fusion prostate biopsy or radical prostatectomy
  • Agree to consent to the study

Exclusion criteria

Exclusion Criteria:

  • Does not agree to consent.
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Study design

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

Study arms

  • Experimental
    ExactVu Imaging

    EV29L transducer will be inserted in the subject's rectum. Cine sweeps will be performed to save images of: 1. The entire prostate from posterior to anterior (may require 2 sweeps to cover base and apex) 2. The peripheral zone using the highest zoom setting (30mm depth) on the system (may require 2 sweeps to cover base and apex). Analysis of these images will be performed after surgery but before prostatectomy

    Device: ExactVu

Interventions

  • DeviceExactVu

    clinical micro-ultrasound, imaging Device, Manufacturer; Exact Imaging

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What researchers measure

Primary outcomes

  1. Micro-Ultrasound Detection of High Grade Prostate Cancer (Gleason Score ≥7) vs. Surgical Pathology

    Evaluate the ability of micro-ultrasound to identify high grade prostate cancer foci (Gleason score ≥7) in comparison to final surgical pathology result (prostatectomy or biopsy)

    Time frame: From date of micro ultrasound exam until the date of Prostate biopsy data are obtained (average of 7 days)

Secondary outcomes

  1. Prostate Cancer Border Identification Post-Prostatectomy

    Evaluate the ability of micro-ultrasound to identify the borders of prostate cancer foci in comparison to final surgical pathology result in men after prostatectomy.

    Time frame: 3 years

  2. Micro-Ultrasound Detection of Low Grade Prostate Cancer (Gleason Score 6)

    Evaluate the ability of micro-ultrasound to detect low grade prostate cancer foci (Gleason score 6)

    Time frame: 1 year and 10 months

  3. Prostate Cancer Detection: Micro-Ultrasound vs. mpMRI Comparison

    Comparison of prostate cancer detection between micro-ultrasound and multiparametric magnetic resonance imaging (mpMRI).

    Time frame: 1 year and 10 months

  4. Measuring Correlation Between Prostatectomy Pathology and Imaging Correlation

    Perform a detailed pathologic and imaging correlation between findings on micro-ultrasound, MRI and final surgical histopathology in men who undergo prostatectomy

    Time frame: 3 years

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Results

Posted Apr 20, 2025

Participant flow

Participant flow — Overall Study
MilestoneExactVu Imaging
Started95
Completed95
Not completed0

Outcome measures

PrimaryMicro-Ultrasound Detection of High Grade Prostate Cancer (Gleason Score ≥7) vs. Surgical Pathology

Evaluate the ability of micro-ultrasound to identify high grade prostate cancer foci (Gleason score ≥7) in comparison to final surgical pathology result (prostatectomy or biopsy)

Time frame:
From date of micro ultrasound exam until the date of Prostate biopsy data are obtained (average of 7 days)
Reported as:
Number · participants
Micro-Ultrasound Detection of High Grade Prostate Cancer (Gleason Score ≥7) vs. Surgical Pathology
participantsExactVu Imaging
Sensitivity (All Lesions)38
Sensitivity (Excluding Anterior Lesions)50
SecondaryProstate Cancer Border Identification Post-Prostatectomy

Evaluate the ability of micro-ultrasound to identify the borders of prostate cancer foci in comparison to final surgical pathology result in men after prostatectomy.

Time frame:
3 years

No measurements were reported for this outcome.

SecondaryMicro-Ultrasound Detection of Low Grade Prostate Cancer (Gleason Score 6)

Evaluate the ability of micro-ultrasound to detect low grade prostate cancer foci (Gleason score 6)

Time frame:
1 year and 10 months
Reported as:
Number · percentage of agreement
Micro-Ultrasound Detection of Low Grade Prostate Cancer (Gleason Score 6)
percentage of agreementExactVu Imaging
Inter-Reader Agreement22
Positive Percent Agreement for Low-Grade Cancers (Gleason Score 6)25.5
SecondaryProstate Cancer Detection: Micro-Ultrasound vs. mpMRI Comparison

Comparison of prostate cancer detection between micro-ultrasound and multiparametric magnetic resonance imaging (mpMRI).

Time frame:
1 year and 10 months
Reported as:
Mean · percentage of agreement
Prostate Cancer Detection: Micro-Ultrasound vs. mpMRI Comparison
percentage of agreementExactVu Imaging
Average Micro-Ultrasound Sensitivity66 ± 6.25
Average mpMRI Sensitivity90 ± 3.97
Average Micro-Ultrasound Inter-Reader Agreement (κ)30 ± 6.08
Average mpMRI Inter-Reader Agreement (κ)50 ± 6.63
SecondaryMeasuring Correlation Between Prostatectomy Pathology and Imaging Correlation

Perform a detailed pathologic and imaging correlation between findings on micro-ultrasound, MRI and final surgical histopathology in men who undergo prostatectomy

Time frame:
3 years

No measurements were reported for this outcome.

Adverse events

Collected over up to 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ExactVu Imaging0/95 (0%)0/95 (0%)0/95 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)ExactVu Imaging
<=18 years0
Between 18 and 65 years45
>=65 years50
Sex: Female, Male
Sex: Female, Male(Participants)ExactVu Imaging
Female0
Male95
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)ExactVu Imaging
Hispanic or Latino5
Not Hispanic or Latino85
Unknown or Not Reported5
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ExactVu Imaging
American Indian or Alaska Native0
Asian13
Native Hawaiian or Other Pacific Islander1
Black or African American5
White62
More than one race0
Unknown or Not Reported14
Region of Enrollment
Region of Enrollment(participants)ExactVu Imaging
United States95
08

Study locations

1 site
  • Stanford University
    Stanford, California 95304, United States
09

References and documents

Publications

  • Zhou SR, Choi MH, Vesal S, Kinnaird A, Brisbane WG, Lughezzani G, Maffei D, Fasulo V, Albers P, Zhang L, Kornberg Z, Fan RE, Shao W, Rusu M, Sonn GA. Inter-reader Agreement for Prostate Cancer Detection Using Micro-ultrasound: A Multi-institutional Study. Eur Urol Open Sci. 2024 Jul 13;66:93-100. doi: 10.1016/j.euros.2024.06.017. eCollection 2024 Aug. PubMed 39076245 ↗

Study documents

  • Protocol and statistical analysis plan · Jun 10, 2021
  • Informed consent form · Feb 8, 2022

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

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 28, 2026, 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
NCT04981223
Lead sponsor
Stanford University
Responsible party
Geoffrey Sonn (Associate Professor of Urology, Stanford University) — Principal investigator
First posted
Jul 28, 2021
Start date
Apr 1, 2022
Primary completion
Jan 26, 2024
Completion
Jan 26, 2024
Results posted
Apr 20, 2025
Last update
May 28, 2026

Study contacts

Geoffrey Sonn
principal investigator · Stanford Universiy

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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