Application of DCE-MRI Based on 4D FreeBreathing in Predicting the Efficacy of Immune and Targeted Therapy in Lung Cancer

NCT ID: NCT06742021

Last Updated: 2024-12-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

195 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-11

Study Completion Date

2026-07-31

Brief Summary

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This study aims to address the challenge of predicting the efficacy of targeted and immunotherapy in lung cancer patients. By utilizing two DCE-MRI images-one before treatment and one after one treatment cycle-along with the patients' clinical and pathological information, we aim to achieve accurate prediction of the therapeutic efficacy of targeted and immunotherapy in lung cancer patients.

Detailed Description

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Conditions

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Lung Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Application Value of MRI Imaging in Treatment Decision-Making for Lung Cancer

A Philips 3.0T MRI scanner was used, with a dStream Torso 32-channel coil. DCE-MRI was performed using a free-breathing sequence with a flow velocity of 3.0 m/s. The image quality assessment in this study was performed by two radiologists (one with 3 years of diagnostic experience and the other with 15 years of diagnostic experience), including both subjective and objective evaluations. Then, dynamic information from the 4D FreeBreathing DCE-MRI images taken before treatment and one week after immunotherapy/targeted therapy, along with routine clinical and pathological data, were used to construct predictive models for the efficacy of immunotherapy and targeted therapy. Finally, the MRI model was compared with the CT model, and the performance of both models was evaluated.

Group Type EXPERIMENTAL

Application Value of MRI Imaging in Treatment Decision-Making for Lung Cancer

Intervention Type DIAGNOSTIC_TEST

Chest MRI scans outside of the standard treatment protocol

Interventions

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Application Value of MRI Imaging in Treatment Decision-Making for Lung Cancer

Chest MRI scans outside of the standard treatment protocol

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Tumor size greater than 2 cm
2. Age between 18 and 75 years

Exclusion Criteria

1. Presence of MRI contraindications (e.g., metal implants, pacemaker implantation, etc.)
2. Allergy to gadolinium contrast agents
3. Lesions difficult to delineate on images due to conditions such as atelectasis or diffuse lesions
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yunnan Cancer Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lianhua Ye

Role: STUDY_DIRECTOR

Ethics Committee of Yunnan Provincial Cancer Hospital

Locations

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Yunnan Cancer Hospital

Kunming, Yunnan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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zhihui shi

Role: CONTACT

Phone: 15087838660

Email: [email protected]

Zhenhui Li

Role: CONTACT

Phone: 13698736132

Email: [email protected]

Facility Contacts

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Guojun Zhang

Role: primary

Other Identifiers

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KYLX2024-272

Identifier Type: -

Identifier Source: org_study_id