Inter-observer Variability in the Segmentation of Prostate Tumour Lesions Using Multiparametric MRI (VARIOP)

NCT ID: NCT05996289

Last Updated: 2023-08-18

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

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-08-01

Study Completion Date

2024-07-01

Brief Summary

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Following the major technological and scientific advances in external radiotherapy in recent decades, thanks to the use of three-dimensional conformal techniques combined with intensity modulation, image-guided radiotherapy has enabled radiotherapists to increase doses without increasing sequelae and complications, giving rise to the term "dose escalation".

Following multiple dose-escalation clinical trials showing better biological control of PSA, the results of the latest phase 3 FLAME trial incorporated the notion of intraprostatic boost in relation to the primary prostate lesion, considered to be the preferred site of neoplastic recurrence in prostate cancer.

This leads to the first question, which concerns the identification of the dominant lesion and its precise delimitation. This last point is subject to variation between operators. A retrospective cohort from the Finistère region will therefore be used to develop a number of study points relating to :

inter-operator contour variability

* Factors influencing contour
* Impact of contour variability on dosimetry
* Automatic segmentation

Detailed Description

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Following the major technological and scientific advances in external radiotherapy in recent decades, thanks to the use of three-dimensional conformal techniques combined with intensity modulation, image-guided radiotherapy has enabled radiotherapists to increase doses without increasing sequelae and complications, giving rise to the term "dose escalation".

Following multiple dose-escalation clinical trials showing better biological control of PSA, the results of the latest phase 3 FLAME trial incorporated the notion of intraprostatic boost in relation to the primary prostate lesion, considered to be the preferred site of neoplastic recurrence in prostate cancer.

One of the issues raised by such a study is the methodology used to contour the tumour lesion, an issue which concerns the whole field of radiotherapy. The reference imaging technique for diagnosing prostate cancer, and more specifically the dominant tumour lesion, is multiparametric Magnetic Resonance Imaging. This leads to the first question, which concerns the identification of the dominant lesion and its precise delimitation. This last point is subject to variation between operators. A retrospective cohort from the Finistère region will therefore be used to develop a number of study points relating to :

inter-operator contour variability

* Factors influencing contour
* Impact of contour variability on dosimetry
* Automatic segmentation

Conditions

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Prostate Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Histologically proven localized prostatic neoplasia on trans-rectal biopsies.
* Multiparametric prostate MRI performed prior to prostate biopsies.
* No opposition expressed
* Patient affiliated to a social security scheme

Exclusion Criteria

* History of surgery, prostatic irradiation or hormonal treatment prior to diagnosis.
* History of prostate cancer
* No identifiable target lesion on mpMRI (\<PIRADS 3)
* Opposition formulated
* Patient under legal protection (guardianship, curatorship, etc.)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Brest

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vincent Bourbonne, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Radiation Oncology Department, Brest University Hospital

Locations

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Chu Brest

Brest, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Vincent BOURBONNE, MD, PhD

Role: CONTACT

+33298223398

Facility Contacts

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Vincent Bourbonne, MD, PhD

Role: primary

+33298223398

Other Identifiers

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29BRC23.0145 - VARIOP

Identifier Type: -

Identifier Source: org_study_id

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