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Active not recruitingOBSERVATIONAL

Differentiation of Benign From Malignant Thyroid Nodules Using Diffuse Reflectance Spectroscopy

Doctors often investigate lumps in the thyroid gland using ultrasound and sometimes a biopsy. However, for some patients, these tests don't give a clear answer, meaning they can't definitively say if a lump is cancerous or not. In these situations, surgery is usually recommended to find out more. This study is testing a new technique called diffuse reflectance spectroscopy. It uses a special probe that shines light onto the removed thyroid tissue and measures what bounces back. The idea is that different types of tissue (harmless versus cancerous) will reflect light differently. Researchers hope this method can help distinguish between harmless and cancerous thyroid lumps, particularly when current tests are inconclusive, potentially improving how these cases are managed.

At a glance

Status
Active not recruiting
Sponsor
Imperial College London
Enrolment target
50
Start
20 Mar 2024
Estimated completion
31 Mar 2026

What is this study about?

When doctors find a lump in your thyroid gland, it's really important to find out if it's harmless (benign) or if it's cancer. Currently, the main ways they do this are with scans, like ultrasound, and sometimes by taking a small sample of the lump (a biopsy). Whilst these methods are often very helpful, there are times when they can't give a definite answer. This can be a worrying time for patients, as it often means they need to have surgery to remove the lump so doctors can examine it more closely and get a clear diagnosis.

This research project is exploring a new, gentle technique called diffuse reflectance spectroscopy. Think of it like a special torch that shines light onto the tissue and then measures the light that bounces back. Different types of tissue, for example, healthy tissue compared to cancerous tissue, might scatter and reflect light in slightly different ways. By detecting these subtle differences, the researchers hope this new method could help tell apart harmless thyroid lumps from cancerous ones. The idea is that this could be especially useful for those cases where current tests just aren't clear enough.

It's important to know that this special probe isn't used on you directly during the operation. Instead, it's used on the thyroid tissue after it has already been removed by the surgeon. This means it won't affect your operation in any way. The tissue samples are being collected as part of your routine surgery anyway, and will still go for their usual detailed checks under a microscope. This study is simply adding an extra step to see if this new light-based method can provide additional, helpful information about the nature of the thyroid lump.

Key takeaways

  • Exploring a new light-based technique to identify thyroid lumps.
  • Aims to improve diagnosis, especially for 'unclear' cases.
  • Probe used only on tissue **after** it's removed during surgery.
  • No extra risks or changes to your planned treatment.
  • May help future patients avoid unnecessary operations.

Who may be eligible?

You might be able to take part in this study if you are 18 years old or older and are already scheduled to have surgery for a thyroid lump. Before your surgery, doctors would have already checked your thyroid lump using scans or by taking a cell sample.

However, you wouldn't be able to join if you've decided not to take part, if you're unable to give your agreement to participate, or if your surgery is an emergency or a second operation on the same area. The study aims to include a wide range of people, as long as they meet these basic requirements, regardless of gender.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you 18 years old or older?
  2. Are you having surgery soon for a thyroid lump?
  3. Has your thyroid lump already been checked by scans or cell tests?
  4. Is this your first surgery for this specific thyroid area?
  5. Are you able to provide your agreement to participate?
Answer every question to see your result.

What does participation involve?

If you decide to take part in this study, there will be no changes to your planned surgery or hospital stay. The researchers will simply use their special light probe on the thyroid tissue after your surgeon has removed it during your operation. This happens away from you, in the operating theatre, and the tissue would be routinely sent for analysis anyway. You wouldn't need to do any extra visits, take any special medication, or have any follow-up appointments specifically for this study. Your involvement would not add any extra time to your procedure or recovery.

Potential risks and benefits

There are no direct risks to you from taking part in this study, as the new technique is only used on tissue after it has been removed from your body and does not affect your surgery or treatment. A potential benefit is that the information gained from this research could help develop better ways to diagnose thyroid lumps in the future, especially for those cases that are currently unclear. Your right to withdraw from the study at any time, for any reason, without it affecting your medical care, is fully respected.

Locations (1)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Hammersmith Hospital
    Verified postcode
    London, United Kingdom

Common questions

What is diffuse reflectance spectroscopy?

It's a new technique that uses a special light to shine on tissue and measure the light that bounces back. It helps researchers see differences that might show if a lump is harmless or cancerous.

Will this technique be used on me during my surgery?

No, absolutely not. The special probe is only used on the thyroid tissue after your surgeon has already removed it from your body as part of your planned operation.

Will taking part affect my surgery or recovery?

No, your surgery, recovery, and any follow-up appointments will be exactly the same whether you take part in the study or not. There are no extra steps for you.

What happens to the thyroid tissue after the study?

The tissue samples will still be sent for their usual detailed examination under a microscope by pathologists, just as they would be routinely after any thyroid surgery. The study's use of the probe is an additional check for research purposes.

Why is this research important?

It aims to find a clearer way to tell if thyroid lumps are harmless or cancerous, especially in those confusing cases where current tests aren't definite. This could potentially help patients avoid unnecessary diagnostic surgeries in the future.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

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