Role of Magnetic Resonance Enterography for Predicting Peritoneal Cancer Index

NCT ID: NCT05063019

Last Updated: 2021-10-18

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-01

Study Completion Date

2024-08-31

Brief Summary

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This is a prospective observational study which will recruit 90 participants over a three-year period to investigate whether adding magnetic resonance imaging and enterography to routine computed tomography study can better predict the extend of peritoneal carcinomatosis over computed tomography alone.

Detailed Description

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Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is a new option for patients with peritoneal carcinomatosis and the effectiveness of HIPEC depends on the extend of disease. Currently, pre-operative imaging peritoneal cancer index (PCI) is used to predict the intraoperative tumor extend and completeness of cytoreduction. However, the investigators' previous study and literature review show that imaging PCI usually underestimated intraoperative PCI, resulting in subsequent Open-Close operation. The investigators hypothesize that magnetic resonance imaging (MRI) is a better predictor of the intra-operative PCI than computed tomography (CT), and MR Enterography can better represent tumor deposits in the small intestine. This study aims to test whether the addition of MRI and MR Enterography to CT study improves the prediction performance of the intraoperative PCI and completeness of optimal cytoreduction over CT alone.

Conditions

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Hyperthermic Intraperitoneal Chemotherapy Cytoreductive Surgery Peritoneal Carcinomatosis

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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Magnetic resonance imaging and enterography following computed tomography

Magnetic resonance imaging and enterography will be performed after computed tomography but before surgery.

Group Type EXPERIMENTAL

MRI

Intervention Type DIAGNOSTIC_TEST

Magnetic resonance imaging and enterography before surgery

Interventions

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MRI

Magnetic resonance imaging and enterography before surgery

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients with peritoneal carcinomatosis diagnosed by computed tomography
* Schedule for operation at our institute

Exclusion Criteria

* Age \< 20 years old
* Renal function impairment or acute renal failure
* Contraindications for magnetic resonance imaging
* Primary tumor not origins from colorectal cancer, gastric cancer or ovarian cancer
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chang Gung Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chia-Ni Lin, MA

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital, Chiayi, Taiwan

Locations

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Chang Gung Memorial Hospital

Chiayi City, , Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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Chia-Ni Lin, MA

Role: CONTACT

+886 5 3621 000 ext. 2627

Li-Wen Lee, MD, PhD

Role: CONTACT

+886 5 3621 000 ext. 2627

Facility Contacts

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Chia-Ni Lin, MA

Role: primary

+886 5 3621 000 ext. 2627

Li-Wen Lee, MD, PhD

Role: backup

+886 5 3621 000 ext. 2627

Other Identifiers

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202100965A3

Identifier Type: -

Identifier Source: org_study_id