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Confocal Laser Endomicroscopy as an Imaging Biomarker for the Diagnosis of Pancreatic Cystic Lesions
Sponsor: Ohio State University Comprehensive Cancer Center
Summary
The study schema is shown in Figure 4. (A) All patients referred to one of the participating academic centers for EUS evaluation of the PCL will be enrolled in the protocol if they satisfy inclusion criteria. Patient consent will be obtained during the clinic visit or prior to their EUS. EUS-guided nCLE imaging is first performed (B) followed by EUS-guided FNA and aspiration of cyst fluid. The cyst fluid is analyzed for CEA and cytology. As per institutional standard of care, the cyst fluid is also sent for molecular analysis. The results of the cyst fluid molecular analysis (B) will be utilized for the most likely diagnosis. Based on institutional multidisciplinary tumor board meetings, surgery is performed as indicated (C). Surgical histopathology serves as "gold standard" for diagnosis. It is anticipated that the majority of patients will undergo surgical resection after their EUS.
Official title: Confocal Laser Endomicroscopy as an IMaging Biomarker for the Diagnosis of Pancreatic Cystic Lesions
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
500
Start Date
2018-10-01
Completion Date
2026-12-31
Last Updated
2025-08-22
Healthy Volunteers
No
Conditions
Locations (10)
Mayo Clinic Scottsdale Campus
Scottsdale, Arizona, United States
Stanford Hospital
Stanford, California, United States
Yale School of Medicine
New Haven, Connecticut, United States
Parkview Hospital Randallia
Fort Wayne, Indiana, United States
The Johns Hopkins Hospital
Baltimore, Maryland, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
NYU Langone Health
Garden City, New York, United States
Icahn School of Medicine at Mount Sinai
New York, New York, United States
The Ohio State University Wexner Medical Center
Columbus, Ohio, United States
Baylor College of Medicine
Houston, Texas, United States