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CTRI Number  CTRI/2018/12/016618 [Registered on: 11/12/2018] Trial Registered Prospectively
Last Modified On: 04/02/2020
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Establishing diagnostic reference level ofradiation dose and using low dose protocol for CT head in pediatric population 
Scientific Title of Study   Establishing Diagnostic Reference level and optimization of radiation dose for Computed Tomography of head in Pediatric Population 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Priyanka 
Designation  Assistant Professor 
Affiliation  School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal 
Address  Department of Medical Imaging Tehnology, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal

Udupi
KARNATAKA
576104
India 
Phone  09739314908  
Fax    
Email  priyanka.rao@manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Priyanka 
Designation  Assistant Professor 
Affiliation  School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal 
Address  Department of Medical Imaging Tehnology, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal

Udupi
KARNATAKA
576104
India 
Phone  09739314908  
Fax    
Email  priyanka.rao@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Priyanka 
Designation  Assistant Professor 
Affiliation  School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal 
Address  Department of Medical Imaging Tehnology, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal

Udupi
KARNATAKA
576104
India 
Phone  09739314908  
Fax    
Email  priyanka.rao@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Medical Collage and Hospital, Manipal- 576104 
 
Primary Sponsor  
Name  NA 
Address  NA 
Type of Sponsor  Other [] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Priyanka  Kasturba Medical College and Hospital,Manipal  Room NO. : 2 ,128 Slice Philips Incisive CT Scanner, Department Of Radio Diagnosis And Imaging, Kasturba Medical Collage and Hospital, Manipal,Udupi, Karnataka 576104
Udupi
KARNATAKA 
9739314908

priyanka.rao@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Kasturba Hospital, Manipal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G938||Other specified disorders of brain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  0.00 Year(s)
Age To  5.00 Year(s)
Gender  Both 
Details  Pediatric patients referred for CT head with age range of 0- 5 years
 
 
ExclusionCriteria 
Details  Pediatric patients referred for Contrast enhanced CT brain and Un co-operative patients
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
CTDI vol (mGy)
DLP- Dose Length Product (mGy.cm)
Effective dose (mSv)
DRL- Diagnostic Reference Level 
CTDIvol and DLP- will be noted at the end of each scan
Effective dose (mSv) will be calculated from DLP
CTDIvol and DLP will be used to calculate DRL 
 
Secondary Outcome  
Outcome  TimePoints 
Subjective and Objective image quality Assessment
 
Subjective and Objective image quality Assessment - weekly one time 
 
Target Sample Size   Total Sample Size="250"
Sample Size from India="250" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1/ Phase 2 
Date of First Enrollment (India)   17/12/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="4"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details
Modification(s)  
Not yet published  
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
The study is a cross sectional observational study and  will be done in two phase. 

Phase 1: Include 143 patients.Scanning will be performed using standard pediatric brain protocol. Dose info such as CTDI vol  and DLP will be noted at the end of the scan and effective dose will be calculated from DLP. The 3rd quartile value of CTDI vol and DLP will be calculated to establish Diagnostic Reference Levels.


Phase2: Scanning will be performed using low dose pediatric brain protocol. Dose info such as CTDI vol  and DLP will be noted at the end of the scan and effective dose will be calculated from DLP. Subjective and objective assessment  of image quality will be done. The 3rd quartile value of CTDI vol and DLP will be calculated to establish Diagnostic Reference Levels for low dose.
 
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