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CTRI Number  CTRI/2021/07/035214 [Registered on: 28/07/2021] Trial Registered Prospectively
Last Modified On: 17/11/2022
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Prospective observational single arm cohort study 
Study Design  Other 
Public Title of Study   Ultrasound based Navigation in brain tumor surgery 
Scientific Title of Study   The Clinical Value of Ultrasound based Navigation update in cranial resection procedures 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  Other 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aliasgar Moiyadi 
Designation  Professor, Surgical Oncologist 
Affiliation  Tata Memorial Hospital 
Address  Tata Memorial Hospital, Dr E Borges road, Homi Bhabha Block, 12th floor, Room No 1229

Mumbai
MAHARASHTRA
400012
India 
Phone  02224177000  
Fax    
Email  amoiyadi@actrec.gov.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aliasgar Moiyadi 
Designation  Professor, Surgical Oncologist 
Affiliation  Tata Memorial Hospital 
Address  Tata Memorial Hospital, Dr E Borges road, Homi Bhabha Block, 12th floor, Room No 1229

Mumbai
MAHARASHTRA
400012
India 
Phone  02224177000  
Fax    
Email  amoiyadi@actrec.gov.in  
 
Details of Contact Person
Public Query
 
Name  Dr Aliasgar Moiyadi 
Designation  Professor, Surgical Oncologist 
Affiliation  Tata Memorial Hospital 
Address  Tata Memorial Hospital, Dr E Borges road, Homi Bhabha Block, 12th floor, Room No 1229

Mumbai
MAHARASHTRA
400012
India 
Phone  02224177000  
Fax    
Email  amoiyadi@actrec.gov.in  
 
Source of Monetary or Material Support  
Brainlab AG 
 
Primary Sponsor  
Name  Brainlab AG 
Address  Dr. Susanne Hager, MHBA/ Dimitrios Sapnaras, MBA Brainlab AG, Olof-Palme-Strabe 9, 81829 Munich, Germany 
Type of Sponsor  Other [Medical equipment manufacturer] 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aliasgar Moiyadi  Tata Memorial Hospital  Dr E Borges Road, Homi Bhabha Block, Ground floor, OPD 057, Parel
Mumbai
MAHARASHTRA 
02224177000

aliasgar.moiyadi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C719||Malignant neoplasm of brain, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NA  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Intra axial supratentorial brain tumors planned to undergo tumor resection surgery
 
 
ExclusionCriteria 
Details  < 18 years of age, all other tumor lesions not described in the inclusion criteria 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine brain shift compensation by assessing the navigation accuracy after dura opening before and after utilizing the Navigation Update feature of Brainlab’s Ultrasound Navigation software.   intraoperative only 
 
Secondary Outcome  
Outcome  TimePoints 
Extent of resection  24hrs post surgery 
Factors influencing the accuracy benefit  intraoperative 
 
Target Sample Size   Total Sample Size="25"
Sample Size from India="25" 
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 4 
Date of First Enrollment (India)   31/08/2021 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Surgical removal is often the main treatment for tumors. In order to completely remove the entire tumor, it is vital to ensure visualization into the brain to review the borders of the tumor and to not harm healthy tissue. Neuronavigation is a well-accepted method to view inside the brain during surgery. This works like a GPS system providing the neurosurgeon with intraoperative guidance based on preoperatively acquired MRI which are registered to the patient’s anatomy. However, accuracy is affected due to brain shift or the movement of the brain after opening the dura or resection of the tumor. Intraoperative ultrasound navigation can be used to compensate for brain shift by providing updated real-time accurate information of the surgical field. the real-time ultrasound is fused with the MRI to update its accuracy. This project is intended to quantify the hypothesized improvement in navigation accuracy using Brainlab’sUltrasound Navigation software and determine if using a navigation update feature can compensate for brainshift and therefore improve navigation accuracy and hence, positively influence extent of resection.  
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