- ICH GCP
- Register voor klinische proeven in de VS.
- Klinische proef NCT04028375
Study of CT and MR in the Gastric Cancer
Clinical Study of CT and MR in Staging and Prediction of Response in Patients With Gastric Cancer
It is very significant that assessing staging in gastric cancer patients before surgery, furthermore, determining the optimize surgical strategy ,predict the the efficacy of neoadjuvant therapy for patients. For patients who are ineffective in neoadjuvant therapy, surgery will be more meaningful.
It has been reported that the application of CT(computed tomography,CT) and MR(magnetic resonance,MR) in staging of gastric cancer, but not in predicting clinical response to neoadjuvant therapy for gastric cancer. Only a few studies focused on T staging using conventional MRI in gastric cancer, however , relatively new sequences in the chest deserve widely used. To develop a pre-treatment evaluation methods for TN staging in patient with gastric cancer by utilization of the new imaging methods (T2-TSE-BLADE,T2 maps, StarVIBE, iShim-DWI and high resolution CT). By analysing the relationship between TN staging and imaging features to find the imaging characteristics for TN staging, and to find the indicators of new technology and reference values for facilitate pre-treatment diagnosis of TN staging, optimize surgical strategy , predict the the efficacy of adjunctive therapy , and OS and define the range of lymph node for radiotherapy , as making personal treatment planning for gastric cancer .
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
To explore the value of CT and MR using multiple sequences, including T2-TSE-BLADE, T2 maps StarVIBE, and iShim-DWI in evaluating the preoperative TN staging and prediction of response to neoadjuvant therapy and OS in patients with gastric cancer.
Patients with endoscopically biopsy-proven gastric cancer were prospectively enrolled for imaging on CT and a 3T MRI scanner . The MRI protocol included T2-TSE-BLADE, T2 maps,iShim-DWI(diffusion weighted imaging,DWI)and StarVIBE sequences, and so on. Patients received treatment according to NCCN guideline(the National Comprehensive Cancer Network,NCCN). Readers assigned a TN stage on CT and MRI, and post-operative pathologic confirmation was considered the gold standard.
Inter-reader agreement, the diagnostic accuracy of TN staging on CT and MRI were analyzed and compared to post-operative pathologic TN staging separately. MRI features were analyzed to find the correlation between pretreatment MRI features and response or OS. The study will include 400 patients. Inter-reader agreements of TN staging were analyzed excellent for CT and MRI. Diagnostic accuracy of CT and MRI will be calculated separately.
Studietype
Inschrijving (Verwacht)
Contacten en locaties
Studiecontact
- Naam: Jinrong Qu
- Telefoonnummer: 0371-65587595
- E-mail: qjryq@126.com
Studie Contact Back-up
- Naam: Jing Ding, Master
- Telefoonnummer: 0371-65587251
- E-mail: dingjing201305@163.com
Studie Locaties
-
-
-
Zhengzhou, China
- Werving
- Henan Cancer Hospital
-
Contact:
- Baoxia He, MD
- Telefoonnummer: 8637165588007
- E-mail: hnszlyygcp@163.com
-
-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- Consecutive patients with preoperative pathologically con-firmed gastric cancer by endoscopy and preoperative imaging data (esophagography\CT\EUS\MRI) were included.
- No contraindications for MRI examination. No contraindications contrast.
- The patients participate in this study with informed consent.
Exclusion Criteria:
- The patients couldn't performed MSCT or MR scanning or artefacts affect the evaluation.
- The patients are extremely anxious and uncooperative about surgery or neoadjuvant therapy .
- PatientsThe patients refuse to participate in the project.
- Other situations considered by investigators not meet the inclusion criteria.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
MSCT and MRI staging in Gastric Cancer.
Tijdsspanne: up to 2 year
|
To evaluate the staging of gastric cancer treated with systematic therapy through MSCT and 3 T MRI which using multiple sequences.
|
up to 2 year
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
MSCT and MRI prediction of prognosis in gastric cancer
Tijdsspanne: up to 2 year
|
To construct a model,a depth convolution neural network based on MSCTand multi-modal MR quantitative images which can automatically mine key images characterization, combined with imaging features and prognosis,could further help to improve the prediction of response and OS of gastric cancer treated with systematic therapy.
|
up to 2 year
|
Medewerkers en onderzoekers
Sponsor
Publicaties en nuttige links
Algemene publicaties
- Al-Batran SE, Homann N, Pauligk C, Illerhaus G, Martens UM, Stoehlmacher J, Schmalenberg H, Luley KB, Prasnikar N, Egger M, Probst S, Messmann H, Moehler M, Fischbach W, Hartmann JT, Mayer F, Hoffkes HG, Koenigsmann M, Arnold D, Kraus TW, Grimm K, Berkhoff S, Post S, Jager E, Bechstein W, Ronellenfitsch U, Monig S, Hofheinz RD. Effect of Neoadjuvant Chemotherapy Followed by Surgical Resection on Survival in Patients With Limited Metastatic Gastric or Gastroesophageal Junction Cancer: The AIO-FLOT3 Trial. JAMA Oncol. 2017 Sep 1;3(9):1237-1244. doi: 10.1001/jamaoncol.2017.0515.
- Borggreve AS, Goense L, Brenkman HJF, Mook S, Meijer GJ, Wessels FJ, Verheij M, Jansen EPM, van Hillegersberg R, van Rossum PSN, Ruurda JP. Imaging strategies in the management of gastric cancer: current role and future potential of MRI. Br J Radiol. 2019 May;92(1097):20181044. doi: 10.1259/bjr.20181044. Epub 2019 Mar 5.
- Giganti F, Tang L, Baba H. Gastric cancer and imaging biomarkers: Part 1 - a critical review of DW-MRI and CE-MDCT findings. Eur Radiol. 2019 Apr;29(4):1743-1753. doi: 10.1007/s00330-018-5732-4. Epub 2018 Oct 2.
- Pang L, Wang J, Fan Y, Xu R, Bai Y, Bai L. Correlations of TNM staging and lymph node metastasis of gastric cancer with MRI features and VEGF expression. Cancer Biomark. 2018;23(1):53-59. doi: 10.3233/CBM-181287.
- Zhou J, Shen J, Seifer BJ, Jiang S, Wang J, Xiong H, Xie L, Wang L, Sui X. Approaches and genetic determinants in predicting response to neoadjuvant chemotherapy in locally advanced gastric cancer. Oncotarget. 2017 May 2;8(18):30477-30494. doi: 10.18632/oncotarget.12955.
- Kwee RM, Kwee TC. Role of imaging in predicting response to neoadjuvant chemotherapy in gastric cancer. World J Gastroenterol. 2014 Feb 21;20(7):1650-6. doi: 10.3748/wjg.v20.i7.1650.
- Ng J, Lee P. The Role of Radiotherapy in Localized Esophageal and Gastric Cancer. Hematol Oncol Clin North Am. 2017 Jun;31(3):453-468. doi: 10.1016/j.hoc.2017.01.005. Epub 2017 Mar 22.
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Verwacht)
Studie voltooiing (Verwacht)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- FSK002
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
Klinische onderzoeken op MRI
-
Assaf-Harofeh Medical CenterWervingMRI, Functional MRIIsraël
-
Medic Vision Imaging Solutions LtdWervingMRI-beeldverbeteringVerenigde Staten
-
Hillel Yaffe Medical CenterMedic Vision Imaging SolutionsWervingMRI-beeldverbeteringIsraël
-
Centre Hospitalier Universitaire de NīmesVoltooid
-
PfizerVoltooidMRI-sedatieVerenigde Staten, Japan
-
University of UtahIngetrokkenMRI-scansVerenigde Staten
-
SpinTech, Inc.University of Iowa; University of Texas Southwestern Medical Center; Loma Linda... en andere medewerkersVoltooid
-
Rennes University HospitalWerving
Klinische onderzoeken op Geen tussenkomst
-
ICIM International S.r.l.Nog niet aan het werven
-
University of MinnesotaVoltooid
-
The University of Texas Health Science Center,...Nog niet aan het wervenGeestelijk welzijn | Sociaal-emotioneel welzijnVerenigde Staten
-
Ege Miray TopcuVoltooidOngerustheid | Ondersteunende zorg onder leiding van een verpleegkundige | Verpleegkundige interventiesTurkije (Türkiye)
-
Vienna Institute for Research in Ocular SurgeryBeëindigdNetvliesloslatingOostenrijk
-
VA Office of Research and DevelopmentVoltooidVA-no-shows verminderen: evaluatie van voorspellende overboeking toegepast op colonoscopie (No-show)DarmkankerVerenigde Staten
-
Catharina Ziekenhuis EindhovenVoltooidVasculaire infectiesNederland
-
The University of Texas Health Science Center,...National Center for Advancing Translational Sciences (NCATS)Actief, niet wervend
-
University of SevilleUniversity of Jaén; Loyola University; Gobierno de CantabriaWervingOuderschap | Gezinsfunctie | Kinderen/adolescente aanpassingSpanje
-
Vanderbilt UniversityAanmelden op uitnodigingMoeilijkheden bij het leren van wiskundeVerenigde Staten