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Not yet recruitingNCT06994260Updated Jun 22, 2025

Diagnostic Imaging of Vascular Malformations Using MSOT and ULM

An observational study in Vascular Malformation, Arteriovenous Malformation and Lymphatic Malformation, sponsored by University Hospital Erlangen. Not yet recruiting at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-22.

Primary conditionArteriovenous MalformationsRegistry: Vascular MalformationsReclassifiedWhy we changed it
Registry
Vascular Malformations — the first condition term the registry derived for this study.
ClinicalTrials.gg
Arteriovenous Malformations
Why
  1. The study's listed conditions name Arteriovenous Malformations, a narrower term within Vascular Malformations.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University Hospital Erlangen · Observational

From the registry’s dates

  • Primary completion was expected by Feb 2026, 9 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
15
Ages
18 Years and older
Sex
All
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Study summary

This clinical study evaluates the efficacy and accuracy of Multispectral Optoacoustic Tomography (MSOT) and Ultrasound Localization Microscopy (ULM) for imaging and diagnosing vascular malformations (venous, arteriovenous, lymphatic). The study aims to enhance diagnostic precision and improve treatment planning through advanced non-invasive imaging techniques.

Read the detailed description

This study aims to investigate whether Multispectral Optoacoustic Tomography (MSOT) and Ultrasound Localization Microscopy (ULM) can accurately differentiate between lymphatic, venous, and arteriovenous vascular malformations. MSOT can determine oxygen levels based on the expected low oxygen content in venous blood, high oxygen content in arterial blood, and the absence of oxygen in lymphatic fluid. Additionally, ULM, utilizing microbubbles, measures blood flow velocities, which may help identify and distinguish these malformations or their mixed forms.

To date, vascular malformations of blood and lymphatic vessels are commonly diagnosed using cross-sectional imaging techniques such as ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI). MSOT introduces a novel, non-invasive diagnostic approach that enables the assessment of oxygenated hemoglobin concentrations and oxygen levels in blood and tissue. Previous studies (e.g., MSOT_IC, MSOT_PI) demonstrated the capability of MSOT to visualize muscle perfusion in patients with peripheral arterial disease. Moreover, it has successfully identified muscle structures and the clinical severity of Duchenne muscular dystrophy by detecting endogenous biomarkers like collagen and lipids.

The objective of this study is to utilize MSOT and ULM as supplementary diagnostic tools to conventional imaging methods to accurately identify and distinguish between venous, arteriovenous, and lymphatic malformations in patients. This approach has the potential to reduce exposure to ionizing radiation from CT scans and minimize the need for resource-intensive MRI procedures in the future.

02

Conditions studied

  • Vascular Malformation
  • Arteriovenous Malformation
  • Lymphatic Malformation
  • Venous Malformations

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Keywords

  • Vascular Malformation
  • Venous Malformation
  • Arteriovenous Malformation
  • Lymphatic Malformation
  • MSOT
  • ULM
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In context

Arteriovenous Malformations Reclassified

92 studies on the registry are indexed under Arteriovenous Malformations; 29 are open to participants now.

This study's planned enrollment of 15 is below the median of 100 across 41 observational studies indexed under Arteriovenous Malformations.

Browse Arteriovenous Malformations studies →

Lead sponsor

University Hospital Erlangen is the lead sponsor of 28 studies on the registry; 3 are open to participants now.

Compared within Arteriovenous Malformations, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Vascular Malformations. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population consists of patients (≥18 years old) with diagnosed vascular malformations. These may be of lymphatic, venous, or arteriovenous origin.

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

  • Confirmed vascular malformations (arteriovenous, venous, or lymphatic).
  • ≥18 years old and able to give their consent

Exclusion criteria

Exclusion Criteria:

  • No imaging for diagnostic confirmation has been performed or is planned.
  • Lack of written consent
  • \<18 years old
  • Safety concerns of the study physician (a patient with physical, psychological, or psychiatric conditions that, in the opinion of the study physician, could compromise the patient's safety or the quality of the data, thereby making the patient an unsuitable candidate for the study).
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Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
15 participants (estimated)
Patient registry
No

Groups and cohorts

  • Venous Malformation

    Patients with venous malformations.

    Diagnostic Test: Multispectral Optoacoustic Tomography · Diagnostic Test: Ultrasound Localization Microscopy

  • Arteriovenous Malformations

    Patients with arteriovenous malformations.

    Diagnostic Test: Multispectral Optoacoustic Tomography · Diagnostic Test: Ultrasound Localization Microscopy

  • Lymphatic Malformations

    Patients with lymphatic malformations.

    Diagnostic Test: Multispectral Optoacoustic Tomography · Diagnostic Test: Ultrasound Localization Microscopy

Interventions

  • Diagnostic testMultispectral Optoacoustic Tomography

    MSOT is an advanced imaging technology that combines laser-induced ultrasound and light absorption to visualize biological tissues. By detecting ultrasound waves generated from tissue absorption of multispectral light, MSOT provides high-resolution, real-time images with functional and molecular information. One of its use is in biomedical research and clinical applications to study blood oxygenation and tissue composition, making it valuable for areas such as vascular research. In this study, we aim to utilize MSOT to differentiate between venous, arteriovenous and lymphatic malformations.

  • Diagnostic testUltrasound Localization Microscopy

    ULM is a cutting-edge imaging technique that significantly enhances the resolution of traditional ultrasound by tracking the movement of microbubble contrast agents within blood vessels. This approach enables the visualization of microvascular structures and blood flow dynamics at a super-resolution scale, beyond the diffraction limit of conventional ultrasound. In this study, we aim to utilize ULM to differentiate between venous, arteriovenous and lymphatic malformations.

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What researchers measure

Primary outcomes

  1. Quantitative signal of total hemoglobin (HbT), oxygenated hemoglobin (HbO2), deoxygenated hemoglobin (Hb), and oxygen saturation (mSO2).

    using MSOT

    Time frame: through study completion, an average of 1 year

  2. Quantification of perfusion dynamics in the respective vessel.

    using ULM

    Time frame: through study completion, an average of 1 year

07

Study locations

1 site
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References and documents

Publications

  • Seront E, Vikkula M, Boon LM. Venous Malformations of the Head and Neck. Otolaryngol Clin North Am. 2018 Feb;51(1):173-184. doi: 10.1016/j.otc.2017.09.003. PubMed 29217061 ↗
  • Kansy K, Bodem J, Engel M, Freudlsperger C, Mohlenbruch MA, Herweh C, Bendszus M, Hoffmann J, Kargus S. Interdisciplinary treatment algorithm for facial high-flow arteriovenous malformations, and review of the literature. J Craniomaxillofac Surg. 2018 May;46(5):765-772. doi: 10.1016/j.jcms.2018.03.002. Epub 2018 Mar 9. PubMed 29609843 ↗
  • Gray RL, Ortiz RA, Bastidas N. Combined Surgery and Intraoperative Sclerotherapy for Vascular Malformations of the Head/Neck: The Hybrid Approach. Ann Plast Surg. 2018 Apr;80(4 Suppl 4):S156-S157. doi: 10.1097/SAP.0000000000001366. PubMed 29596084 ↗
  • Dompmartin A, Vikkula M, Boon LM. Venous malformation: update on aetiopathogenesis, diagnosis and management. Phlebology. 2010 Oct;25(5):224-35. doi: 10.1258/phleb.2009.009041. PubMed 20870869 ↗
  • Demene C, Robin J, Dizeux A, Heiles B, Pernot M, Tanter M, Perren F. Transcranial ultrafast ultrasound localization microscopy of brain vasculature in patients. Nat Biomed Eng. 2021 Mar;5(3):219-228. doi: 10.1038/s41551-021-00697-x. Epub 2021 Mar 15. PubMed 33723412 ↗
  • Carqueja IM, Sousa J, Mansilha A. Vascular malformations: classification, diagnosis and treatment. Int Angiol. 2018 Apr;37(2):127-142. doi: 10.23736/S0392-9590.18.03961-5. Epub 2018 Feb 8. PubMed 29424187 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Aug 2025; primary completion for Feb 2026, 6 months later.

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

Registered
May 19, 2025
First posted
May 29, 2025
StartEst.
Aug 1, 2025
Primary completionEst.
Feb 1, 2026
CompletionEst.
Jun 1, 2026
Last update
Jun 22, 2025
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 Jun 22, 2025, 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
NCT06994260
Lead sponsor
University Hospital Erlangen
Collaborators
PD Dr. med. Ferdinand Knieling, Department of pediatrics, University of Erlangen-Nürnberg
Responsible party
Ulrich Rother (Senior Consultant, Department of Vascular Surgery, University Hospital Erlangen, University Hospital Erlangen) — Principal investigator
First posted
May 29, 2025
Start date
Aug 1, 2025 (estimated)
Primary completion
Feb 1, 2026 (estimated)
Completion
Jun 1, 2026 (estimated)
Last update
Jun 22, 2025

Study contacts

Ulrich Rother, PD Dr. med.
Contact
ulrich.rother@uk-erlangen.de
+4991318542028

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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