The Character of Perfusion Parameters Derived From MDCT Between Adenocarcinoma and Squamous Cell Carcinoma of Lung in the Treatment Course of Radiation Therapy
Recruitment status was Recruiting
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Purpose
Lung cancer is one of the leading causes of cancer-related death in Taiwan. Recently, there are more treatment methods available which result in increased patient survival. Although adenocarcinoma and squamous cell carcinoma were both categorized as non-small cell lung cancer (NSCLC), the recent advancement of target therapy implied that these two histologies behave differently (Shah NT, et al. 2005; Sandler A, et al. 2006). Radiation therapy is an important method for locally advanced non-resectable non-small cell lung cancer (NSCLC). Computed tomography (CT) is the mainstay for evaluating lung cancer. The advance of multi-row detector CT (MDCT) provides volumetric acquisition within a breath hold, and enables detailed evaluation of tissue and organ perfusion with excellent resolution. Using this new technique with image post processing, excellent spatial resolution and functional perfusion information can be obtained simultaneously. Therefore, the purpose of this study is to explore not only the longitudinal change of lung cancer eligible for radiation therapy (including concurrent, sequential chemoradiotherapy and high-dose radiation therapy) but also comparison of adenocarcinoma and squamous cell lung cancers using perfusion MDCT. Total twenty patients with histopathologically proved adenocarcinoma or squamous cell carcinoma will be enrolled in this study and receive longitudinal study for perfusion MDCT evaluation before, during radiation therapy and in early and late phases after complete radiation therapy. Dynamic perfusion will be used for processing the image data, and quantitative parameters such as tumor blood volume and permeability etc will be derived. From this study, we expect to understand the change of tumor vascularity after radiation therapy and characters of treatment response of adenocarcinoma and squamous cell carcinoma in addition to the change of tumor size.
| Condition | Intervention |
|---|---|
|
Adenocarcinoma Squamous Cell Carcinoma Relevant Condition Terms to the Conditions Field |
Radiation: CT, radiation therapy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Character of Perfusion Parameters Derived From MDCT Between Adenocarcinoma and Squamous Cell Carcinoma of Lung in the Treatment Course of Radiation Therapy |
- This study will provide information of quantitative measurement of lung cancer, in term of tumor permeability (mL/100 mL/min) and blood volume (mL/100 mL), in addition to tumor size. [ Time Frame: Dec, 2008 ] [ Designated as safety issue: Yes ]
- The information may be beneficial to understand the longitudinal change of internal tumor vascular composition following radiation therapy and between tumors of different histopathology (i.e. adenocarcinoma vs. squamous cell carcinoma). [ Time Frame: Dec, 2008 ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 20 |
| Study Start Date: | January 2008 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
-
Radiation: CT, radiation therapy
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Ages 18 and up
- Males and females
Exclusion Criteria:
- Pregnancy
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT00751543
| Contact: Chang Yeun-Chung, Ph.D | 886-2-23123456 ext 65566 | ycc5566@ntu.edu.tw |
| Taiwan | |
| Yeun-Chung Chang | Recruiting |
| Taipei, Taiwan, 100 | |
| Principal Investigator: | Yeun-Chung Chang, Ph.D | National Taiwan University Hospital |
More Information
No publications provided
| Responsible Party: | Yeun-Chung Chang / Department of Medical Imaging, National Taiwan University Hospital |
| ClinicalTrials.gov Identifier: | NCT00751543 History of Changes |
| Other Study ID Numbers: | 200705059R |
| Study First Received: | September 10, 2008 |
| Last Updated: | June 28, 2010 |
| Health Authority: | Taiwan: National Bureau of Controlled Drugs United States: Institutional Review Board |
Keywords provided by National Taiwan University Hospital:
|
To evaluate the longitudinal change of tumor perfusion in the course of radiation therapy in adenocarcinoma and squamous cell carcinoma using perfusion MDCT Comparison between adenocarcinoma and squamous cell carcinoma will be evaluated according to the derived perfusion parameter obtained from perfusion MDCT |
Additional relevant MeSH terms:
|
Adenocarcinoma Carcinoma Carcinoma, Squamous Cell Neoplasms |
Neoplasms by Histologic Type Neoplasms, Glandular and Epithelial Neoplasms, Squamous Cell |
ClinicalTrials.gov processed this record on February 27, 2015