Changes in the accuracy of synchronisation of image acquisition and the heart cycle in ultra-high-field cardiovascular magnetic resonance, by utilising different placement positions of the electrocardiogram
| ISRCTN | ISRCTN12127339 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN12127339 |
| Secondary identifying numbers | EKG study |
- Submission date
- 26/08/2019
- Registration date
- 22/11/2019
- Last edited
- 03/08/2021
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English summary of protocol
Background and study aims
The synchronisation of the heart cycle with image acquisition is essential in cardiovascular magnetic resonance applications. The standard method utilises the vector cardiogram (VCG) generated from different electrocardiogram (ECG) leads to trigger image acquisition. Higher magnetic field strengths lead to increased signal to noise ratio in MRI and are therefore promising for improving the diagnostic accuracy of the method, as well as for the development of new techniques. It was shown that the VCG acquired with the standard electrode placement is sufficient for field strengths up to 3T. At 7T, however, an artefact called the magnetohydrodynamic effect, severely distorts the ECG trace to the point where trigger detection is no longer feasible.
The aim of this study is to investigate the influence of different standardised electrode placements on trigger detection accuracy for different field strengths and sequences.
Who can participate?
Healthy volunteers without known cardiac disease
What does the study involve?
Participants will be scanned at clinical and ultra-high-field strengths and with different sequences for the standardised electrode placements. The impact of the electrode placement positions on trigger accuracy shall be evaluated
What are the possible benefits and risks of participating?
Cardiac MRI is considered the gold standard for the interpretation of cardiac function. Any incidental, pathological findings would be communicated with the participant.
The risk of an MRI-exam are generally small (seldom temporary dizziness and light flashes, ending with leaving the MRI scanner). The biggest risk centers around the fact that a magnetic field is induced to gather the images. Therefore, metallic (magnetic) objects are of risk. This does also concern objects within the body (such as implants). This is a general limitation for the use of MRI and is therefore also applied on our study population. Any kind of implants or metal within or on the body is an exclusion criterion. If it is uncertain, if the participant had any kind of implant or metal within the body, he/she is excluded as well.
Where is the study run from?
Working Group on Cardiovascular Magnetic Resonance, Experimental and Clinical Research Center a joint cooperation between the Charité University Medicine Berlin and the Max-Delbrueck Center for Molecular Medicine, and HELIOS Klinikum Berlin Buch, Department of Cardiology and Nephrology, Berlin, Germany
When is the study starting and how long is it expected to run for?
September 2019 to June 2020
Who is funding the study?
Charité University Medicine Berlin - Working Group Kardiale MRT
Who is the main contact?
Prof. Jeanette Schulz-Menger,
stephanie.wiesemann@charite.de
Contact information
Scientific
Charité University Medicine Berlin Campus Buch Working Group Kardiale MRT Lindenberger Weg 80
Berlin
1325
Germany
 ORCID ID |
0000-0003-3100-1092 |
|---|---|
| Phone | +49-30-450540916 |
| stephanie.wiesemann@charite.de |
Study information
| Study design | Observational study |
|---|---|
| Primary study design | Observational |
| Secondary study design | Case series |
| Study setting(s) | Hospital |
| Study type | Diagnostic |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| Scientific title | Evaluation of the impact of standardised electrode placement positions on gating quality in ultra-high-field cardiovascular magnetic resonance |
| Study objectives | Different electrode placement positions have an impact on the gating quality in cardiovascular magnetic resonance |
| Ethics approval(s) | 1. Approved 09/08/2019, ethical board of the Charité University Medicine Berlin Campus Mitte (Charitéplatz 1, 10117 Berlin, Germany; +49 30 450 517 222; ethikkommission@charite.de), ref: EA1/183/19 2. Approved 20/07/2018, ethical board of the Regional Office for Health and Social Affairs Berlin (Turmstraße 21, 10559 Berlin, Germany; +49 30 90229-1232; katja.poetzsch@lageso.berlin.de), ref: Eudamed-Number CIV-18-01-022805, DIMDI Number 00011233 (A) |
| Health condition(s) or problem(s) studied | Healthy volunteers without any known cardiac disease |
| Intervention | After enrolment participants will be scanned on both clinical as well as the ultra-high-field scanners. Scan protocol involves one hour of scan time each, during which the ECG-electrodes will be placed on the standardised positions and the ECG will be recorded with the volunteer inside and outside of the scanner for each standardised position and all of the assessed sequences. In between measurements, the volunteer will be moved outside of the scanner and the ECG-leads will be moved to the next placement position. The trigger accuracy will be evaluated by manually annotating the R-waves in the recorded ECG-trace and determining jitter, performance index and propagation delay of the actual trigger. After the last scan, the participant will be free to leave and will not be contacted anymore. No follow-up is planned. |
| Intervention type | Other |
| Primary outcome measure | Gating quality assessed by calculating jitter (in ms), performance index and propagation delay (in ms) from evaluating the recorded trigger timepoints against the manually annotated recorded ECG-trace. The annotation will be performed by two independent observers. |
| Secondary outcome measures | Image quality assessed semiquantitatively by two observers by using a visual rating scale |
| Overall study start date | 01/06/2019 |
| Completion date | 10/06/2020 |
Eligibility
| Participant type(s) | Healthy volunteer |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 16 |
| Key inclusion criteria | 1. > 18 years 2. Written consent |
| Key exclusion criteria | 1. Any known cardiac disease 2. Contraindication to CMR |
| Date of first enrolment | 01/09/2019 |
| Date of final enrolment | 01/03/2020 |
Locations
Countries of recruitment
- Germany
Study participating centre
Berlin
13125
Germany
Sponsor information
University/education
Working Group Kardiale MRT Lindenberger Weg 80
Berlin
13125
Germany
| Phone | +49-30-450-540-916 |
|---|---|
| stephanie.funk@charite.de | |
"ROR" |
https://ror.org/001w7jn25 |
Funders
Funder type
University/education
No information available
Results and Publications
| Intention to publish date | 01/05/2021 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not expected to be made available |
| Publication and dissemination plan | Planned publication in a high-impact peer-reviewed journal |
| IPD sharing plan | The datasets generated during and/or analysed during the current study are not expected to be made available due to data protection laws. |
Editorial Notes
03/08/2021: The study contact has been updated.
03/09/2019: Trial’s existence confirmed by Charité University Medicine Berlin Campus Mitte
