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Spots Global Cancer Trial Database for Piloting a Virtual Navigation (VN) System for Bronchoscopic Lung Nodule Sampling

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Trial Identification

Brief Title: Piloting a Virtual Navigation (VN) System for Bronchoscopic Lung Nodule Sampling

Official Title: Piloting a Virtual Navigation (VN) System for Bronchoscopic Lung Nodule Sampling

Study ID: NCT05599321

Conditions

Lung Cancer

Study Description

Brief Summary: The overall goal is to evaluate the role of a Virtual Navigation (VN) system (the Virtual Navigator) in the bronchoscopic evaluation and tissue sampling of lung cancer and other chest lesions at the Penn State Hershey Medical Center (HMC). The Virtual Navigator is a software package that runs on a mobile Windows-based computer. The computer takes in up to four clinical image/video sources, ordered by the clinician for clinical purposes: 1) 3D CT (computed tomography) imaging scan; 2) 3D PET (positron emission tomography) imaging scan (optional); 3) Bronchoscopic video of the airway tree interior; 4) Ultrasound video of scanned anatomy outside the airways, as provided by an endobronchial ultrasound (EBUS) probe (optional). During a live guided procedure, the Virtual Navigator presents images that assist with navigating the bronchoscope to predesignated chest lesions. Lung cancer patients that present a suspicious peripheral tumor on their chest CT scan are often prescribed to undergo a diagnosis-and-staging bronchoscopy, whereby the bronchoscopist examines both the suspect tumor and any identified central-chest lymph nodes. For the clinical study, we consider bronchoscopy performance for two cohorts: 1) a cohort of consented patients who undergo image-guided bronchoscopy via the Virtual Navigator; and 2) a historical controls cohort consisting of patients who underwent bronchoscopy recently at our medical center (state-of-the-art bronchoscopy practice). The study's general hypothesis is that an image-guided bronchoscopy system (the Virtual Navigator) that integrates 3D imaging, bronchoscopy, and EBUS images enables more complete evaluation and sampling of chest lesions than current state-of-the-art clinical techniques. More specifically, for peripheral-tumor diagnosis, the sub-hypothesis is that the VN system increases diagnostic biopsy yield as compared to state-of-the-art bronchoscopy practice; for central-chest nodal staging, the sub-hypothesis is that the VN system enables the sampling of more lymph nodes than state-of-the-art bronchoscopy practice.

Detailed Description:

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States

Contact Details

Name: William E Higgins, PhD

Affiliation: Penn State University, University Park, PA 16802

Role: PRINCIPAL_INVESTIGATOR

Name: Rebecca Bascom, MD

Affiliation: Penn State Milton S. Hershey Medical Center, Hershey, PA 17033

Role: STUDY_DIRECTOR

Useful links and downloads for this trial

Clinicaltrials.gov

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