Spatial Analysis and Validation of Glioblastoma on 7 T MRI

NCT ID: NCT02062372

Last Updated: 2018-08-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-10

Study Completion Date

2018-02-05

Brief Summary

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Currently, patients with a glioblastoma multiforme (GBM) are treated with a combination of different therapeutic modalities including resection, concurrent chemo- and radiotherapy and adjuvant temozolomide. However, survival is still poor and most of these tumours recur within one to two years within the previously irradiated target volume.

The radiation target volume encompasses both the contrast-enhanced lesion on T1-weighted magnetic resonance imaging (MRI), plus a 1.5 - 2 cm isotropic margin in order to include microscopic speculated growth. These margins result in a high dose to surrounding healthy appearing brain tissue. Moreover, the short progression-free survival indicates a possible geographical miss. There is a clear need for novel imaging techniques in order to better determine the degree of tumour extent at the time of treatment and to minimize the dose to healthy brain tissue.

The development of Ultra-High Field (UHF) MRI at a magnetic field strength of 7 Tesla (T) provides an increased ability to detect, quantify and monitor tumour activity and determine post-treatment effects on the normal brain tissue as a result of a higher resolution, greater coverage and shorter scan times compared to 1.5 T and 3 T images. Up to now, only few investigators have examined the use of UHF MRI in patients with malignant brain tumours. These studies show its potential to assess tumour microvasculature and post-radiation effects such as microhaemorrhages.

This study analyzes the accuracy of the 7T MRI in identifying the gross tumour volume (GTV) in patients with an untreated GBM by comparing biopsy results to 7T images. These biopsies will be taken from suspected regions of GBM based on 7T MRI that do not appear as such on 3T MRI. We hypothesize that with the 7T MRI the GTV can be more accurately and extensively identified when compared to the 3T MRI.

Detailed Description

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Conditions

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Glioblastoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Biopsy

Subjects will receive a 7 T MRI and one additional biopsy to their standard diagnostic biopsies

Group Type EXPERIMENTAL

7 T MRI

Intervention Type DEVICE

Overview Technical DetailsField strength: 7 Tesla Bore size: 60 cm System length: 317,5 cm RF power: 7,5 kW / 8x1 kW Gradient strength: SC 72 Gradients (max. 70 mT/m @ 200 T/m/s) Helium Consumption: Zero Helium boil-off technology

Biopsy

Intervention Type PROCEDURE

During surgery patients will receive standard biopsies plus one study biopsy from a region of interest. The neuro-surgeon will determine the feasibility of the extra biopsy and the optimal biopsy tract. A screen capture from the neuronavigation system will be saved for each biopsy to relate the findings on 3T and 7T MRI to histopathology.

Interventions

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7 T MRI

Overview Technical DetailsField strength: 7 Tesla Bore size: 60 cm System length: 317,5 cm RF power: 7,5 kW / 8x1 kW Gradient strength: SC 72 Gradients (max. 70 mT/m @ 200 T/m/s) Helium Consumption: Zero Helium boil-off technology

Intervention Type DEVICE

Biopsy

During surgery patients will receive standard biopsies plus one study biopsy from a region of interest. The neuro-surgeon will determine the feasibility of the extra biopsy and the optimal biopsy tract. A screen capture from the neuronavigation system will be saved for each biopsy to relate the findings on 3T and 7T MRI to histopathology.

Intervention Type PROCEDURE

Other Intervention Names

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Siemens MAGNETOM 7 Brain biopsy Tumor sampling

Eligibility Criteria

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Inclusion Criteria

* Supratentorial tumour
* Suspected GBM on diagnostic MRI
* Eligible for biopsy
* Minimum age 18 years or older
* World Health Organization (WHO) Performance scale ≤2
* American Society of Anaesthesiologist (ASA) class ≤ 3
* Understanding of the Dutch language
* Ability to comply to study procedure

Exclusion Criteria

* Recurrent tumour
* Tumour location deemed unfit for extra biopsies
* Prior radiotherapy to the skull
* Prior chemotherapy
* World Health Organization (WHO) Performance scale ≥ 3
* American Society of Anaesthesiologist (ASA) class ≥ 3
* Eligibility for immediate debulking
* Contra-indications for gadolinium
* Contra-indications for the MRI
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Limburg University Fund

UNKNOWN

Sponsor Role collaborator

Maastricht Radiation Oncology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Philippe Lambin, prof

Role: PRINCIPAL_INVESTIGATOR

Maastricht Radiation Oncology

Locations

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Maastricht Radiation Oncology (MAASTRO clinic)

Maastricht, Limburg, Netherlands

Site Status

Countries

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Netherlands

References

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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
PMID: 22898692 (View on PubMed)

Related Links

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Other Identifiers

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47894

Identifier Type: OTHER

Identifier Source: secondary_id

1335-1812-intern-6485

Identifier Type: -

Identifier Source: org_study_id

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