Use of DwI-MR to Predict Chemotherapy Response of Liver Metastases and Hepatocarcinoma
NCT01411579 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 57
Last updated 2014-12-10
Summary
One of the most recent and interesting field of diagnostic imaging is diffusion-weighted MR imaging (DW-MRI). Various studies evaluated the application of DW-MRI to diffuse liver disease and focal liver lesions providing controversial results, probably due to the difficult reproducibility of the apparent diffusion coefficient (ADC) measurements. It is conceivable that a wide inter/intra-individual variability actually exists in the apparent diffusion coefficient (ADC)-values, and that each apparent diffusion coefficient (ADC)-value presents an higher reliability in measuring the temporal changes of water diffusion within the same individual (longitudinal-evaluation), than in characterizing tissues between different patients (transverse-evaluation). For these reasons, some previous studies assessed the application of DW-MRI in predicting the chemotherapy (CHT) outcome in liver metastases. The rationale of these studies was the overt biochemical changes shown by the neoplastic cells after CHT and the sensitivity of DW-MRI in the identification of such changes. The same authors noticed that the metastatic lesions with the lowest ADC-values present also the best outcome after CHT. Moreover, these studies suggest that it could be possible to assess if each single patient will respond (R) or not (NR) to the CHT through liver DW-MRI performed from 3 days to 3 weeks after the beginning of CHT.
Conditions
- Liver Metastases
- Hepatocarcinoma
Sponsors & Collaborators
-
Società Italiana Radiologia Medica SIRM
collaborator UNKNOWN -
Treviso cà Foncello Hospital
collaborator UNKNOWN -
University of Trieste
collaborator OTHER -
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
collaborator OTHER -
Santa Maria delle Grazie Hospital
collaborator OTHER -
Azienda Ospedaliera Niguarda Cà Granda
collaborator OTHER -
University of Rome Tor Vergata
collaborator OTHER -
Stefano Colagrande
lead OTHER
Principal Investigators
-
Stefano Colagrande, MD · University of Florence
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-02-28
- Primary Completion
- 2012-02-29
- Completion
- 2013-02-28
Countries
- Italy
Study Locations
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