US Radiomics in Advanced Cervical Cancer

NCT ID: NCT06984289

Last Updated: 2025-05-22

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

COMPLETED

Total Enrollment

220 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-03-25

Study Completion Date

2025-05-14

Brief Summary

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This is a retrospective, multicenter observational study aimed at evaluating the role of ultrasound-based radiomics in patients with locally advanced cervical cancer (LACC). The study will analyze pre-treatment ultrasound images to identify radiomic features that may predict treatment response and disease recurrence.

A total of 220 patients treated with exclusive chemoradiotherapy or neoadjuvant chemoradiotherapy followed by radical surgery between 2011 and 2024 will be included. Using clinical and imaging data, machine learning models will be developed to distinguish between responders and non-responders, and to identify patients at higher risk of relapse.

The goal is to improve personalized care in LACC by integrating radiomic analysis into treatment planning and follow-up strategies.

Detailed Description

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Conditions

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Uterine Cervical Neoplasms Locally Advanced Cervical Cancer Radiomics Ultrasound Imaging Machine Learning Chemoradiotherapy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Responder Group

Patients with locally advanced cervical cancer who responded to primary treatment (either exclusive chemoradiotherapy or neoadjuvant chemoradiotherapy followed by radical surgery), as determined by clinical and/or histological assessment.

Radiomic Analysis of Ultrasound Images

Intervention Type OTHER

Quantitative analysis of pre-treatment ultrasound images of the primary cervical tumor to extract radiomic features. These features will be used to develop and validate machine learning models for predicting treatment response and disease relapse in patients with locally advanced cervical cancer (LACC).

Non-Responder Group

Patients with locally advanced cervical cancer who did not respond to primary treatment (either exclusive chemoradiotherapy or neoadjuvant chemoradiotherapy followed by radical surgery), based on residual disease findings or lack of clinical response.

Radiomic Analysis of Ultrasound Images

Intervention Type OTHER

Quantitative analysis of pre-treatment ultrasound images of the primary cervical tumor to extract radiomic features. These features will be used to develop and validate machine learning models for predicting treatment response and disease relapse in patients with locally advanced cervical cancer (LACC).

Interventions

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Radiomic Analysis of Ultrasound Images

Quantitative analysis of pre-treatment ultrasound images of the primary cervical tumor to extract radiomic features. These features will be used to develop and validate machine learning models for predicting treatment response and disease relapse in patients with locally advanced cervical cancer (LACC).

Intervention Type OTHER

Other Intervention Names

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Radiomics, Ultrasound-based Radiomics, Radiomic Feature Extraction

Eligibility Criteria

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Inclusion Criteria

Female patients aged ≥18 years

Histologically confirmed diagnosis of locally advanced cervical cancer (FIGO 2018 stage IB3-IVA, excluding IIA1)

Histologic subtypes: squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma

Underwent transvaginal or transrectal ultrasound prior to treatment

At least one pre-treatment DICOM ultrasound image of the primary tumor available

Treated with either exclusive chemoradiotherapy or neoadjuvant chemoradiotherapy followed by radical surgery

Completed at least 12 months of follow-up after primary treatment

Signed informed consent (or equivalent declaration)

Exclusion Criteria

Age \<18 years

Only printed ultrasound images available

Ultrasound images with poor tumor visualization or with text/markers obscuring the tumor
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Policlinico Universitario Agostino Gemelli IRCCS

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Camilla Culcasi

Role: STUDY_CHAIR

Fondazione Policlinico Universitario Agostino Gemelli

Locations

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Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Roma, , Italy

Site Status

Countries

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Italy

Other Identifiers

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7443

Identifier Type: -

Identifier Source: org_study_id

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