Whole Body Magnetic Resonance Imaging With Diffusion Weighted Imaging : Potential Role in Neurofibromatosis (NEFIMAR)
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Purpose
Whole body MRI will be performed in patients with neurofibromatosis Type 1
PURPOSE 1:
To determine the total tumor load (neurofibroma) and to diagnose plexiform neurofibromas or malignant peripheral nerve sheath tumors. All patients will be scanned two years after the baseline whole body MRI to investigate to investigate the changes of total tumor load.
PURPOSE 2: added value of diffusion weighted imaging in diagnosis of high-risk neurofibromas
PURPOSE 3 : to determine the apparent diffusion coefficient of the malignant nerve sheath tumors and neurofibroma.
PURPOSE 4 : correlation between histopathology of the surgically resected neurofibroma/malignant nerve sheath tumors and MRI findings
| Condition | Intervention |
|---|---|
|
Whole Body Imaging Magnetic Resonance Imaging Neurofibromatosis 1 Diffusion Magnetic Resonance Imaging Peripheral Nerve Sheath Tumors, Malignant |
Other: Additional imaging or surgery |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Whole Body Magnetic Resonance Imaging With Diffusion Weighted Imaging : Potential Role in Neurofibromatosis |
- Estimation of total tumor load and diagnosis of high-risk neurofibromas [ Time Frame: 1 month ] [ Designated as safety issue: No ]Estimation of the total tumor load of neurofibromas with whole body MRI (head to knee). Diagnosis of high risk neurofibroma in the chest, abdomen, pelvis, and extremities with T2-weighted sequence and diffusion weighted sequence.
- To diagnose high-risk neurofibroma [ Time Frame: 2 months ] [ Designated as safety issue: No ]Some patients with neurofibromatosis have lesions, pre-malignant or malignant neurofibromas. Additional imaging (PET-CT), a biopsy or surgical treatment is necessary in combination with histopathology of the lesion.
| Estimated Enrollment: | 30 |
| Study Start Date: | December 2010 |
| Estimated Study Completion Date: | January 2014 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Neurofibromatosis 1
All patients diagnosed with neurofibromatosis type 1. GROUP 1:ADDITIONAL IMAGING OR SURGERY There will be patients with high-risk neurofibromas (potential malignant). These patients will underwent additional examinations or surgery (outside this study). Follow-up MRI within 2 years (study MRI ) GROUP 2: No suspicious lesions at MRI. Follow-up within 2 years(Study MRI). |
Other: Additional imaging or surgery
No specific intervention is necessary. If a suspicious lesion is diagnosed on MRI, further investigation will be planned (PET-CT or surgery - biopsy)
|
Eligibility| Ages Eligible for Study: | 6 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
All patients with a clinically proven neurofibromatosis type 1 can be included.
Inclusion Criteria:
- Patients with neurofibromatosis type 1, between 6 and 50 years old
Exclusion Criteria:
- Patients who are not allowed to be scanned on MRI (contra-indications: pacemaker ed.)
Contacts and Locations| Contact: Steven Pans, MD | 3216340505s | steven.pans@uzleuven.be |
| Belgium | |
| University Hospitals Leuven | Recruiting |
| Leuven, Belgium | |
| Contact: Steven Pans, MD 3216340505 steven.pans@uzleuven.be | |
| Principal Investigator: | Steven Pans, MD | Universitaire Ziekenhuizen Leuven |
More Information
Publications:
| Responsible Party: | Steven Pans, Medical Doctor Radiologist, Universitaire Ziekenhuizen Leuven |
| ClinicalTrials.gov Identifier: | NCT01777451 History of Changes |
| Other Study ID Numbers: | NEFIMAR, S52684 |
| Study First Received: | January 23, 2013 |
| Last Updated: | January 23, 2013 |
| Health Authority: | Belgium: Federal Agency for Medicinal Products and Health Products |
Keywords provided by Universitaire Ziekenhuizen Leuven:
|
Whole Body Imaging Magnetic Resonance Imaging Neurofibromatosis 1 Diffusion Magnetic Resonance Imaging Peripheral Nerve Sheath Tumors, Malignant |
Additional relevant MeSH terms:
|
Neoplasms Neurofibromatosis 1 Osteitis Fibrosa Cystica Neurofibromatoses Nerve Sheath Neoplasms Neurofibrosarcoma Neurilemmoma Neurofibroma Neoplasms, Nerve Tissue Neoplasms by Histologic Type Neoplastic Syndromes, Hereditary Neurocutaneous Syndromes Nervous System Diseases Heredodegenerative Disorders, Nervous System Neurodegenerative Diseases |
Peripheral Nervous System Diseases Neuromuscular Diseases Genetic Diseases, Inborn Bone Diseases, Endocrine Bone Diseases Musculoskeletal Diseases Peripheral Nervous System Neoplasms Nervous System Neoplasms Fibrosarcoma Neoplasms, Fibrous Tissue Neoplasms, Connective Tissue Neoplasms, Connective and Soft Tissue Sarcoma Neuroendocrine Tumors Neuroectodermal Tumors |
ClinicalTrials.gov processed this record on May 23, 2013