Trial Outcomes & Findings for PET/CT or PET/MRI in Measuring Tumors in Patients Undergoing Clinical Imaging or With Newly Diagnosed Breast Cancer (NCT NCT01892540)

NCT ID: NCT01892540

Last Updated: 2020-03-04

Results Overview

Uptake and attenuation correction of PET/MRI and PET/CT will be examined by comparing SUVs of the two methods. The proportions of subjects with SUV of the PET/MR within 5%, 10%, and 20% of the SUV from PET/CT will be estimated with exact 95% confidence intervals.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

43 participants

Primary outcome timeframe

1 yr from study start

Results posted on

2020-03-04

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1: Standard Positioning Device
Patients undergo clinical FDG-PET/CT followed by prone breast PET/CT and/or prone breast PET/MRI with or without DTPA. positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging
Cohort 2: New Positioning Device
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Cohort 3: Current Positioning Device Until New is Available
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Overall Study
STARTED
15
0
28
Overall Study
COMPLETED
15
0
25
Overall Study
NOT COMPLETED
0
0
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1: Standard Positioning Device
Patients undergo clinical FDG-PET/CT followed by prone breast PET/CT and/or prone breast PET/MRI with or without DTPA. positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging
Cohort 2: New Positioning Device
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Cohort 3: Current Positioning Device Until New is Available
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Overall Study
Did not complete PET/MRI
0
0
2
Overall Study
Did not fit in scanner
0
0
1

Baseline Characteristics

PET/CT or PET/MRI in Measuring Tumors in Patients Undergoing Clinical Imaging or With Newly Diagnosed Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1: Standard Positioning Device
n=15 Participants
Patients undergo clinical FDG-PET/CT followed by prone breast PET/CT and/or prone breast PET/MRI with or without DTPA. positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging
Cohort 2: New Positioning Device
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Cohort 3: Current Positioning Device Until New is Available
n=28 Participants
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Total
n=43 Participants
Total of all reporting groups
Age, Customized
30-39 years
3 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
7 Participants
n=4 Participants
Age, Customized
40-49 years
3 Participants
n=5 Participants
0 Participants
n=7 Participants
5 Participants
n=5 Participants
8 Participants
n=4 Participants
Age, Customized
50-59 years
2 Participants
n=5 Participants
0 Participants
n=7 Participants
10 Participants
n=5 Participants
12 Participants
n=4 Participants
Age, Customized
60-69 years
4 Participants
n=5 Participants
0 Participants
n=7 Participants
7 Participants
n=5 Participants
11 Participants
n=4 Participants
Age, Customized
70-79 years
3 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
Sex/Gender, Customized
Gender · Female
11 Participants
n=5 Participants
0 Participants
n=7 Participants
26 Participants
n=5 Participants
37 Participants
n=4 Participants
Sex/Gender, Customized
Gender · Unknown
4 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
6 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=5 Participants
0 Participants
n=7 Participants
25 Participants
n=5 Participants
39 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
7 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
0 Participants
n=7 Participants
19 Participants
n=5 Participants
31 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
28 participants
n=5 Participants
43 participants
n=4 Participants

PRIMARY outcome

Timeframe: 1 yr from study start

Population: No data available - SUV data do not exist for Cohort I and cohort II was never conducted.

Uptake and attenuation correction of PET/MRI and PET/CT will be examined by comparing SUVs of the two methods. The proportions of subjects with SUV of the PET/MR within 5%, 10%, and 20% of the SUV from PET/CT will be estimated with exact 95% confidence intervals.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: 1 yr from study start

Population: No data available - SUV data do not exist for Cohort I and cohort II was never conducted.

Uptake and attenuation correction of PET/MRI and PET/CT will be examined by comparing SUVs of the two methods. The proportions of subjects with SUV of the PET/MR within 5%, 10%, and 20% of the SUV from PET/CT will be estimated with exact 95% confidence intervals.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: 1 yr from study start

Population: Participants in cohort 3 that completed scans.

McNemar's test or a generalized estimating equations logistic regression model with patient as the cluster used to compare specificity rates of the new technology versus current technology (MRI alone), restricting analysis to true negative lesions. Utilizing 3 different combinations of scan parameters to determine which combination has the highest specificity. Single parameter: DCE-MRI is the gold standard to which the two parameter and three parameter rows are compared. Combinations include: Single parameter: DCE-MRI Two Parameter A: DCE-MRI and DWI ADC Two Parameter B: DCE-MRI and FDG-PET Three Parameter: DCE-MRI, DWI ADC, FDG-PET

Outcome measures

Outcome measures
Measure
Cohort 1: Standard Positioning Device
Patients undergo clinical FDG-PET/CT followed by prone breast PET/CT and/or prone breast PET/MRI with or without DTPA. positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging
Cohort 2: New Positioning Device
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Cohort 3: Current Positioning Device Until New is Available
n=25 Participants
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Comparison of Specificity Rates of Fused FDG-PET/MRI (Cohort III)
Single parameter: DCE-MRI
0 percent of specificity
Interval 0.0 to 0.0
Comparison of Specificity Rates of Fused FDG-PET/MRI (Cohort III)
Two Parameter A: DCE-MRI and DWI ADC
89 percent of specificity
Interval 52.0 to 100.0
Comparison of Specificity Rates of Fused FDG-PET/MRI (Cohort III)
Two Parameter B: DCE-MRI and FDG-PET
89 percent of specificity
Interval 52.0 to 100.0
Comparison of Specificity Rates of Fused FDG-PET/MRI (Cohort III)
Three Parameter: DCE-MRI, DWI ADC, FDG-PET
100 percent of specificity
Interval 66.0 to 100.0

PRIMARY outcome

Timeframe: 1 yr from study start

Population: Participants in cohort 3 that completed scans.

McNemar's test or a generalized estimating equations logistic regression model with patient as the cluster used to compare sensitivity rates of the new technology versus current technology (MRI alone), restricting analysis to true negative lesions. Utilizing 3 different combinations of scan parameters to determine which combination has the highest sensitivity. Combinations include: Single parameter: DCE-MRI Two Parameter A: DCE-MRI and DWI ADC Two Parameter B: DCE-MRI and FDG-PET Three Parameter: DCE-MRI, DWI ADC, FDG-PET

Outcome measures

Outcome measures
Measure
Cohort 1: Standard Positioning Device
Patients undergo clinical FDG-PET/CT followed by prone breast PET/CT and/or prone breast PET/MRI with or without DTPA. positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging
Cohort 2: New Positioning Device
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Cohort 3: Current Positioning Device Until New is Available
n=25 Participants
positron emission tomography/computed tomography: Undergo PET/CT PET/MRI: Undergo PET/MRI positron emission tomography/magnetic resonance imaging hybrid imaging Position Device
Sensitivity of PET/CT and PET/MRI (Cohort III)
Single parameter: DCE-MRI
100 percent sensitivity
Interval 100.0 to 100.0
Sensitivity of PET/CT and PET/MRI (Cohort III)
Two Parameter A: DCE-MRI and DWI ADC
95 percent sensitivity
Interval 83.0 to 100.0
Sensitivity of PET/CT and PET/MRI (Cohort III)
Two Parameter B: DCE-MRI and FDG-PET
86 percent sensitivity
Interval 71.0 to 100.0
Sensitivity of PET/CT and PET/MRI (Cohort III)
Three Parameter: DCE-MRI, DWI ADC, FDG-PET
85 percent sensitivity
Interval 70.0 to 94.0

Adverse Events

Cohort 1: Standard Positioning Device

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cohort 2: New Positioning Device

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cohort 3: Current Positioning Device Until New is Available

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Philipp Frank Graner

University Hospitals

Phone: +1 216-844-8275

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place