- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01859650
Lung HeXeRT: Helium, Xenon MRI for NSCLC Patients (HeXeRT)
Lung HeXeRT: Advanced Proton, Hyperpolarised 3-helium and 129-xenon Magnetic Resonance Imaging for Lung Cancer Radiotherapy Planning and Evaluation
The University of Sheffield is one of the leading centres in the world for basic and translational research with inhaled gas MRI, which provides lung images with unprecedented spatial and temporal resolution. Our previous work demonstrated that inhaled gas MRI can provide significant clinical information for lung cancer radiotherapy planning and post-treatment evaluation. Building upon this unique experience, a multidisciplinary team will conduct an inhaled gas and proton lung MRI study that will address two of the major clinical problems faced by lung cancer patients treated with radiotherapy.
- Normal lung tissue is often damaged by the curative radiation dose. The investigators hypothesise that regional ventilation-perfusion lung function imaging with inhaled gas and proton MRI before and after treatment will help to lower the risk of radiation-induced lung injury and help to detect such damage at an early stage.
- Identification of the extent of cancerous tissue is error-prone when planning treatment from CT images alone. The investigators hypothesise that advanced proton MRI techniques will improve the identification of tumour volume, which is critical to successfully targeting the radiation dose.
To achieve these goals, image acquisition and image processing methods will be tested with a study of 20 patients. Results from this study will make an important contribution to improving the treatment of lung disease which is one of the key research priorities of the NHS.
Study Overview
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Sheffield, United Kingdom, S10 2SJ
- Sheffield Teaching Hospitals
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients with an MDT diagnosis of NSCLC based on findings of positive histology, positive PET scan or growth on serial CT scan requiring CT planning for radiotherapy treatment
- patients aged over 18
- patients able to undergo MRI scanning.
Exclusion Criteria:
- patients with co-morbid conditions that exclude radiotherapy treatment
- patients who are pregnant or women with child bearing potential
- patients unable to give informed consent
- patients who do not understand English sufficiently to read the patient information sheet, provide informed consent or converse with research staff without interpreters.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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NSCLC patients undergoing RT
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Percentage of ventilated lung measured using inhaled gas MRI
Time Frame: Change between pre treatment (average 10 days before start of treatment) and at 3 months post treatment
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Change between pre treatment (average 10 days before start of treatment) and at 3 months post treatment
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Lung tumour volume measured using proton MRI
Time Frame: Change between pre-treatment (average 10 days before start of treatment) and at 3 months post treatment
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Change between pre-treatment (average 10 days before start of treatment) and at 3 months post treatment
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Percentage of ventilated lung measured using CT
Time Frame: Change between pre-treatment (average of 10 days before start of treatment) and at 3 months post-treatment
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Change between pre-treatment (average of 10 days before start of treatment) and at 3 months post-treatment
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Matthew Q Hatton, FRCR, FRCP, University of Sheffield
Publications and helpful links
General Publications
- Wild JM, Ajraoui S, Deppe MH, Parnell SR, Marshall H, Parra-Robles J, Ireland RH. Synchronous acquisition of hyperpolarised 3He and 1H MR images of the lungs - maximising mutual anatomical and functional information. NMR Biomed. 2011 Feb;24(2):130-4. doi: 10.1002/nbm.1565. Epub 2010 Sep 6.
- Ireland RH, Din OS, Swinscoe JA, Woodhouse N, van Beek EJ, Wild JM, Hatton MQ. Detection of radiation-induced lung injury in non-small cell lung cancer patients using hyperpolarized helium-3 magnetic resonance imaging. Radiother Oncol. 2010 Nov;97(2):244-8. doi: 10.1016/j.radonc.2010.07.013. Epub 2010 Aug 17.
- Bates EL, Bragg CM, Wild JM, Hatton MQ, Ireland RH. Functional image-based radiotherapy planning for non-small cell lung cancer: A simulation study. Radiother Oncol. 2009 Oct;93(1):32-6. doi: 10.1016/j.radonc.2009.05.018. Epub 2009 Jun 22.
- Ireland RH, Woodhouse N, Hoggard N, Swinscoe JA, Foran BH, Hatton MQ, Wild JM. An image acquisition and registration strategy for the fusion of hyperpolarized helium-3 MRI and x-ray CT images of the lung. Phys Med Biol. 2008 Nov 7;53(21):6055-63. doi: 10.1088/0031-9155/53/21/011. Epub 2008 Oct 9.
- Ireland RH, Bragg CM, McJury M, Woodhouse N, Fichele S, van Beek EJ, Wild JM, Hatton MQ. Feasibility of image registration and intensity-modulated radiotherapy planning with hyperpolarized helium-3 magnetic resonance imaging for non-small-cell lung cancer. Int J Radiat Oncol Biol Phys. 2007 May 1;68(1):273-81. doi: 10.1016/j.ijrobp.2006.12.068.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- STH17245
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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