Contrast-Enhanced Super-Resolution (CESR) Ultrasound for Imaging Breast, Liver, and Kidney Lesions
Official title: Academic-Industrial Partnership for Translation of Acoustic Angiography: Contrast Enhanced Super Resolution (CESR) Imaging
Run by UNC Lineberger Comprehensive Cancer Center · NCT07225114 · Data updated 2026-11-12
The team will try a new contrast-enhanced super-resolution ultrasound (CESR) to see if it images known lesions in the breast, liver, or kidney more clearly in adults scheduled for biopsy and in healthy volunteers.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | UNC Lineberger Comprehensive Cancer Center Academic / other |
| Locations | 1 site (Chapel Hill, North Carolina) |
| Status | Recruiting |
| Started | November 4, 2025 |
| Main results expected | December 2028 |
| Study ends | December 2028 |
| Registry record updated | June 8, 2026 |
| Trial ID | NCT07225114 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with a lesion in the breast, liver, or kidney visible on ultrasound who are scheduled for biopsy and can provide informed consent, plus healthy adults for the optimization arm, are eligible.
✕Probably not a fit
People with known hypersensitivity to perflutren lipid (Definity®), active severe cardiac disease, pregnant women, institutionalized or critically unstable patients, or those whose lesions are not visible on ultrasound are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-center, phase 2 interventional study will enroll 40 participants across four arms: 30 patients with known lesions (10 each in breast, liver, and kidney) and 10 healthy volunteers for imaging optimization. Participants will receive perflutren lipid contrast (Definity®) during ultrasound imaging with a new CESR protocol on an updated ultrasound system while operators adjust parameters like frame rate, power, depth, and translation rate. The primary goal is to measure the sensitivity and specificity of CESR for detecting and characterizing lesions, comparing image findings with pathology from scheduled biopsies. Results will inform whether CESR can be translated into clinical practice for improved lesion visualization.
Why it matters
Potential benefit: If successful, CESR could provide clearer, higher-resolution ultrasound images of small or complex lesions, potentially improving biopsy targeting and treatment planning.
How similar studies have gone: Contrast-enhanced ultrasound methods and early super-resolution imaging approaches have shown promise in prior research, but translating CESR to human breast, liver, and kidney imaging is relatively new and not yet widely proven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults ≥18 years old * Patient had a diagnostic ultrasound study performed at University of North Carolina * Scheduled for a biopsy * Lesion visualized on ultrasound * Able to provide informed consent * Negative urine pregnancy test in women of child-bearing potential Exclusion Criteria: * Institutionalized subject (prisoner or nursing home patient) * Critically ill or medically unstable and whose critical course during the observation period would be unpredictable (e.g., chronic obstructive pulmonary disease (COPD) * Known hypersensitivity to sulfur hexafluoride or to any component of perflutren lipid (Definity®) * Active cardiac disease including any of the following * Severe congestive heart failure (class IV in accordance with the classification of the New York Heart Association) * Unstable angina. * Severe arrhythmia (i.e., ventricular tachycardia, flutter fibrillation; ventricular premature complexes occurring close to the preceding T-wave, multifocal complexes). * Myocardial infarction within 14 days prior to the date of proposed Definity® administration. * Pulmonary hypertension * Cardiac shunts
Where it's running
-
The University of North Carolina
Chapel Hill, North Carolina, United States Recruiting
Study contacts
- Principal investigator: Yueh Lee, MD — UNC Lineberger Comprehensive Cancer Center
- Study coordinator: Desma Jones
- Email: desma_jones@med.unc.edu
- Phone: (919) 843-9463
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Evaluating the impact of MR-guided radiation therapy on cancer treatment outcomes
This study is testing how using a special type of radiation therapy with real-time imaging can improve treatment results and quality of life for adults with cancer.
-
Gyrotonic exercise for elders with breast cancer and Behcet disease
We’re testing whether a gyrotonic exercise program helps older people who have both Behcet disease and breast cancer.
-
PECS II vs SPSIP nerve blocks for pain after mastectomy
This study tests whether two ultrasound-guided nerve blocks (PECS II and SPSIP) differ in how much opioid patients need after mastectomy.
-
CG-7321: a first-in-human test in advanced solid tumors
We’re testing CG-7321 alone and with fulvestrant to see if it’s safe and tolerable in adults with advanced solid tumors.
-
Compare a new endoscopy-assisted breast-conserving surgery with the usual approach
This study tests whether a new endoscopy-assisted breast-conserving technique can provide similar or better cosmetic outcomes and safety compared with conventional breast-conserving surgery in women with early breast cancer who want to preserve their breast.
-
Different skin care approaches to prevent skin reactions after mastectomy radiation
This study tests three standard skin care methods to see which best prevents radiation dermatitis in people who had a mastectomy and are receiving post-mastectomy radiation therapy.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.