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MRI Evaluation of Iron Overload in the Heart, Liver and Pancreas in Patients Receiving Multiple Blood Transfusions.

Information source: Sheba Medical Center
Information obtained from ClinicalTrials.gov on November 03, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Iron Overload

Phase: N/A

Status: Recruiting

Sponsored by: Sheba Medical Center

Official(s) and/or principal investigator(s):
Orly Goitein, MD, Principal Investigator, Affiliation: Sheba Medical Center

Summary

Sickle cell anemia and Sickle cell β thalassemia patients require multiple transfusions in order to avoid chronic anemia sequel. This regimen entails intrinsic deleterious effects, the majority of which are related to iron deposition in the reticuloendothelial system. Thus, iron is deposited in hepatic, myocardial and endocrine glands tissues. Tools available for iron load evaluation include serum ferrtin levels, liver biopsy and echocardiography, all are non specific.

The purpose of this work is to compare iron overload in the liver, heart and pancreas in Sickle cell anemia and Sickle cell β thalassemia patients using T2* MRI sequences.

Clinical Details

Official title: Evaluation of Iron Overload in the Heart, Liver and Pancreas: Patients With Sickle β Thalassemia and Sickle Cell Anemia.

Study design: Case Control, Prospective

Primary outcome: outcome measure: iron overload on T2* MRI in the heart , liver and pancreas.

Detailed description: Sickle cell anemia and Sickle cell β thalassemia patients recieving multiple transfusions are exposed to the effects of iron deposition in the reticuloendothelial system, including cardiac muscle, liver and pancreas. Tools available for iron load evaluation include serum ferrtin levels, liver biopsy and echocardiography, all are non specific.

The purpose of this work is to compare iron overload in the liver, heart and pancreas in Sickle cell anemia and Sickle cell β thalassemia patients using T2* MRI sequences.

Patients and Methods: 27 Sickle cell anemia and 28 Sickle cell β thalassemia will undergo transthoracic echocardiography, cardiac MRI using T2* sequences and clinical and laboratory evaluation for iron overload including ferritin levels and oral glucose tolerance test

.

Eligibility

Minimum age: 18 Years. Maximum age: 35 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- clinical diagnosis of Sickle cell anemia or Sickle cell β thalassemia having received

multiple blood transfusions.

Exclusion Criteria:

- contraindication to MRI

Locations and Contacts

Sheba Medical Center , Imaging Dept, Tel Hashomer 52621, Israel; Recruiting
Orly Goitein, MD, Phone: 972-52-6666681, Email: orly.goitein@sheba.health.gov.il
Shimrit Skop, Phone: 972-3-530-2530, Email: shimrit.skop@sheba.health.gov.il
Orly Goitein, MD, Principal Investigator
Additional Information

Starting date: January 2008
Ending date: February 2008
Last updated: February 25, 2008

Page last updated: November 03, 2008

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