Investigate the correlation between multimodal neuroimaging and urinary dysfunction and brain functional abnormalities

ISRCTN ISRCTN11583354
DOI https://doi.org/10.1186/ISRCTN11583354
Secondary identifying numbers ChiCTR2400092006
Submission date
24/03/2025
Registration date
26/03/2025
Last edited
25/03/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
This study aims to investigate the central nervous mechanism of the occurrence and development of urinary dysfunction. By using multimodal neuroimaging techniques, the researchers hope to explore the correlation between urinary dysfunction and abnormal brain function, which could aid in better clinical decision-making and treatment.

Who can participate?
Patients with various diseases related to lower urinary tract symptoms who were admitted to the outpatient and inpatient departments of the urology department of Wuxi No.2 People's Hospital (Jiangnan University Medical Center) could participate in this study.

What does the study involve?
Participants will undergo multimodal MRI scans and an anxiety scale assessment. The study will use a variety of advanced techniques to examine these samples. As part of the study, participants will undergo a free medical exam.

What are the possible benefits and risks of participating?
Participants will benefit from free medical tests, which can provide valuable health information. There are no risks involved in participating in this study.

Where is the study run from?
Wuxi No.2 People's Hospital (Jiangnan University Medical Center), China

When is the study starting and how long is it expected to run for?
April 2024 to June 2027

Who is funding the study?
The National Natural Science Foundation of China, China

Who is the main contact?
Professor Ninghan Feng, n.feng@njmu.edu.cn

Contact information

Prof Ninghan Feng
Principal Investigator

Wuxi No.2 People's Hospital, Jiangnan University Medical Center, No.68 Zhongshan Road, Liangxi District
Wuxi City, Jiangsu Province
214000
China

ORCiD logoORCID ID 0000-0002-0892-6102
Phone +86 13861892528
Email n.feng@njmu.edu.cn
Mrs Ye Hua
Scientific

Wuxi No.2 People's Hospital, Jiangnan University Medical Center, No.68 Zhongshan Road, Liangxi District
Wuxi City, Jiangsu Province
214000
China

Phone +86 18762806797
Email 77819869@qq.com
Miss Siyi Fu
Public

Wuxi Third People's Hospital, No. 585 Xingyuan North Road, Liangxi District
Wuxi City, Jiangsu Province
214000
China

Phone +86 18967215772
Email fusiyi0210@163.com

Study information

Study designObservational cohort study
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Hospital
Study typeDiagnostic, Screening
Participant information sheet No participant information sheet available
Scientific titleResearch on the mechanism and clinical application of multimodal neuroimaging to evaluate the correlation between urinary dysfunction and abnormal brain function
Study hypothesisTo explore the central nervous mechanism of the occurrence and development of urinary dysfunction.
Ethics approval(s)

Approved 22/04/2024, Medical Ethics Committee of the Wuxi No.2 People’s Hospital, Jiangnan University Medical Center (No.68 Zhongshan Road, Liangxi District, Wuxi City, Jiangsu Province, 214000, China; +86 15152220089; 9862022074@jiangnan.edu.cn), ref: 2024 Y-26

ConditionPatients with urinary dysfunction
InterventionSerum samples were collected from patients with various lower urinary tract symptoms (such as frequent urination, urgency, dysuria and incomplete voiding, etc.), related diseases (including prostatitis, cystitis, overactive bladder, neurogenic bladder, etc.) and healthy control subjects in the clinical setting. Neuro-psychological tests and multimodal neuroimaging were completed, and the differences in morphometry were compared to explore the central nervous system mechanisms underlying the occurrence and development of urinary dysfunction diseases.
Intervention typeOther
Primary outcome measureThe central nervous system mechanisms underlying the occurrence and development of urinary dysfunction diseases were measured using multimodal neuroimaging scans performed the afternoon after admission.
Secondary outcome measures1. Anxiety measured using the Hamilton Anxiety Rating Scale (HAM-A) later in the morning of the second day after admission
Overall study start date22/04/2024
Overall study end date30/06/2027

Eligibility

Participant type(s)Healthy volunteer, Patient
Age groupMixed
Lower age limit18 Years
Upper age limit90 Years
SexBoth
Target number of participants160
Participant inclusion criteria1. Diagnostic criteria for interstitial cystitis: (satisfy both of the following conditions)
1.1. Pain in the bladder area or frequent urination and urgency
1.2. Intravesical instillation of normal saline to expand the bladder (pressure reaches 80cmH2O and maintained for 3 minutes), observing more than three quadrants with 10 or more bleeding points as positive.
2: Diagnostic criteria for prostatitis:
2.1. Those who meet the diagnostic criteria for chronic prostatitis according to Western medicine
2.2. Disease duration exceeds 3 months
2.3. No oral treatment with other medications within 2 weeks before entering the study cycle
3. Diagnostic criteria for bladder cancer:
3.1. Pathological diagnosis is the gold standard
4. Diagnostic criteria for prostate cancer:
4.1. Pathological diagnosis is the gold standard
5. Diagnostic criteria for overactive bladder (OAB):
1. Urgency score in the OABSS questionnaire is 2 points or above, and the total score is 3 points or above, excluding other pathological causes.

Control Group Enrollment Criteria:
Healthy examination personnel with age, gender, and education level matched to the refractory lower urinary tract dysfunction patients were selected from our hospital's health examination center using frequency matching. Among them, those with a HAMA scale score > 7 were included in the anxiety control group.
Participant exclusion criteria1. Patients with urethral stenosis, urinary tract stones, urinary tract infection, urinary tract tumors, or neurogenic bladder
2. Women who are breastfeeding or pregnant
3. Patients with severe heart, liver, kidney, brain, and hematopoietic system diseases
4. Patients with central nervous system infection, head injury, epilepsy, multiple sclerosis, toxic metabolic diseases, Parkinson's disease, or intracranial tumors
5. Patients who have undergone pelvic surgery for pelvic organ prolapse or urinary incontinence
6. Patients with a family history of genetic diseases, a history of schizophrenia or personality changes, or a history of alcohol/drug dependence
7. Patients who have taken related cognitive-improving drugs
8. Patients with severe heart, liver, kidney, brain, and hematopoietic system diseases, or gynecological diseases such as vaginitis
9. Patients with contraindications to MRI scanning (such as implanted electronic or metal devices)
Recruitment start date13/11/2024
Recruitment end date30/06/2027

Locations

Countries of recruitment

  • China

Study participating centre

Wuxi No.2 People’s Hospital (Jiangnan University Medical Center)
No.68 Zhongshan Road, Liangxi District
Wuxi City, Jiangsu Province
214000
China

Sponsor information

Wuxi No.2 People's Hospital
Hospital/treatment centre

Jiangnan University Medical Center, No.68 Zhongshan Road, Liangxi District
Wuxi City, Jiangsu Province
214000
China

Phone +86 13861892528
Email 9862022074@jiangnan.edu.cn
Website http://www.wx2h.com/
ROR logo "ROR" https://ror.org/0399zkh42

Funders

Funder type

Government

National Natural Science Foundation of China
Government organisation / National government
Alternative name(s)
Chinese National Science Foundation, Natural Science Foundation of China, National Science Foundation of China, NNSF of China, NSF of China, 国家自然科学基金委员会, National Nature Science Foundation of China, Guójiā Zìrán Kēxué Jījīn Wěiyuánhuì, NSFC, NNSF, NNSFC
Location
China

Results and Publications

Intention to publish date30/06/2027
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Professor Ninghan Feng, n.feng@njmu.edu.cn.

The data information may include the demographic data of participants and the main indicators of the experiment. This part has been indicated in the informed consent form, and the data will be collected and used after the consent of the participants. The relevant ethics have been reviewed and approved by the Ethics Committee.

Editorial Notes

24/03/2025: Study's existence confirmed by the Medical Ethics Committee of the Wuxi No.2 People’s Hospital, Jiangnan University Medical Center.