Angle Interleaved Projection Reconstruction With K-Space Weighted Image Reconstruction for Dynamic Contrast MRI of Cancer Therapy Response
This study will investigate the use of projection reconstruction dynamic contrast-enhanced
MRI (DCE-MRI) as a surrogate marker of tumor vascularity in patients treated with the
antiangiogenic agent bevacizumab. DCE-MRI is gaining popularity as a method to assess the
functional response of tumors to agents targeting the vascular endothelial growth factor
(VGEF) pathways. DCE-MRI measurements have been proposed as a non-invasive measure of both
tumor biologic activity and (in the case of antivascular therapy) early response to
treatment. A number of phase I and II studies demonstrate the ability for DCE-MRI to detect
perfusion changes associated with tumor biologic response to vascularly targeted agents. It
has been suggested that pre-treatment DCE-MRI might identify tumors with high intrinsic
perfusion and that these tumors will be more likely to respond to antivascular-based
therapies. However, the current use of DCE-MRI in clinical settings is challenging.
Trade-offs between spatial coverage, time, and spatial resolution make this technique
difficult to implement in human studies and may limit its reliability. The use of projection
reconstruction-based acquisition can mitigate the need for these trade-offs and can
simultaneously provide high temporal and spatial resolution data for DCE-MRI analysis.
Arm A:
Observational
Observational Model: Case-Only, Time Perspective: Prospective
To determine the reproducibility of DCE-MRI measures of tumor Ktrans, kep, and ve for colorectal metastases to the liver (Arm A) and any cancer metastatic to the liver (Arm B), using projection interleaved back-projection DCE-MRI techniques.
Three (3) DCE-MRI scans (two separate pre-treatment and one post-treatment DCE-MRI exams [post-treatment defined as after the first cycle of chemotherapy with bevacizumab])
No
Mark Rosen, MD, PhD
Principal Investigator
University of Pennsylvania
United States: Institutional Review Board
ACRIN PA 4002
NCT00820456
April 2008
Name | Location |
---|---|
Fox Chase Cancer Center | Philadelphia, Pennsylvania 19111 |
University of Pittsburgh Medical Center | Pittsburgh, Pennsylvania 15213 |
Hospital of the University of Pennsylvania | Philadelphia, Pennsylvania 19104 |
Thomas Jefferson University Hospital | Philadelphia, Pennsylvania 19131 |
Penn State University Hershey Medical Center | Hershey, Pennsylvania 17033 |