Dynamic Contrast Enhanced MRI (DCE-MRI) Diffusion Weighted MRI (DW-MRI) and Magnetic Resonance Spectroscopy (MRS) of Head and Neck Tumors
Magnetic resonance imaging (MRI) is a diagnostic study that makes pictures of organs of the body using magnetic field and radio frequency pulses that can not be felt. Dynamic contrast enhanced-magnetic resonance imaging (DCE-MRI) uses faster imaging and contrast material (a substance used to make specific organs, blood vessels, or tumors easier to see) that is given by vein. Diffusion weighted magnetic resonance imaging (DW-MRI) allows to measure the motion of water around the cells in the tumor. Proton magnetic resonance spectroscopy (MRS) obtains chemical information from the tumor. During MRS, signals are detected from the chemicals (spectroscopy) naturally present in your tumor using radio waves. DCE-MRI, DW-MRI and MRS give extra information which is not available with the regular MRI. The regular MRI only shows pictures of the tumor while the DCE-MRI also gives information about the blood vessels of the tumor. DW-MRI provides information related to the state of the tumor tissue with regards to the quality or condition of cells present in it and MRS gives information about the chemical makeup of the tumor.
The purpose of this study is to see whether DCE-MRI, DW-MRI and MRS done before treatment can predict which patients will do well with either surgery or chemo-radiation therapy. This study will also see if DCE-MRI, DW-MRI and MRS done early in treatment can tell if the therapy is working.
|Study Design:||Observational Model: Case-Only
Time Perspective: Prospective
|Official Title:||Dynamic Contrast Enhanced MRI (DCE-MRI) Diffusion Weighted MRI (DW-MRI) and Magnetic Resonance Spectroscopy (MRS) of Head and Neck Tumors|
- Identify a priori prognostic markers for head and neck cancer patients using DCE-MRI, DW-MRI and 1H-MRS data, which may help in stratifying patients into "good risk" and "poor risk" categories to improve outcome and quality of life. [ Time Frame: 5 years ] [ Designated as safety issue: No ]
- To determine if the a-priori DCE-MRI, DW-MRI and 1H-MRS results provide independent markers of tumor response and/or long term disease-free survival compared to clinical prognosticators. [ Time Frame: 5 years ] [ Designated as safety issue: No ]
|Study Start Date:||February 2006|
|Estimated Study Completion Date:||February 2014|
|Estimated Primary Completion Date:||February 2014 (Final data collection date for primary outcome measure)|
|pts undergoing surgery or chemo-radiation treatment||
Radiation: DCE-MRI, DW-MRI and MRS
Patients will undergo DCE-MRI, DW-MRI and 1H-MRS studies on either the 1.5T scanner or the 3T MRI scanners. Patients will be grouped based on their treatment: group one will include patients who undergo surgery and group two will include patients who undergo chemoradiation therapy.Patients who undergo surgery will have pretreatment DCE-MRI, DW-MRI and/or 1H-MRS studies on the GE 1.5T or 3T MRI scanner. Patients who participate in chemo-radiation therapy protocols will have pretreatment DCE-MRI, DW-MRI and/or 1H-MRS studies on the 3T Philips MRI scanner in the radiation oncology suite and will undergo additional weekly DW-MRI including IVIM studies at the same MRI scanner during the course of treatment.
|Contact: Amita Dave, PhD||212-639-3184|
|Contact: Nancy Lee, MD||212-639-3341|
|United States, New York|
|Memorial Sloan-Kettering Cancer Center||Recruiting|
|New York, New York, United States, 10065|
|Contact: Amita Dave, PhD 212-639-3184|
|Contact: Nancy Lee, MD 212-639-3341|
|Principal Investigator: Amita Dave, PhD|
|Principal Investigator:||Amita Dave, PhD||Memorial Sloan-Kettering Cancer Center|