Computed Tomography (CT) Perfusion Imaging of Lung Cancer
Carcinoma, Non Small Cell Lung
About this trial
This is an interventional diagnostic trial for Carcinoma, Non Small Cell Lung focused on measuring Non small cell lung cancer, NSCLC, CTP, Perfusion, Imaging
Eligibility Criteria
Inclusion Criteria:
- Patient with any stage non-small cell lung cancer (NSCLC) who will undergo imaging with CT of the chest with intravenous contrast as standard of care. Other imaging tests will be performed as clinically indicated.
- Patient should be receiving, or planning to receive, or have received systemic therapy (chemotherapy and/or novel agents) treatment with or without radiotherapy. Patients should not be receiving adjuvant or postoperative treatment but neoadjuvant treatment is allowed.
- Histologically or cytologically proven NSCLC.
- At least one measurable primary or other intrathoracic/supraclavicular lesion ≥ 1 cm, according to Response Evaluation Criteria in Solid Tumors (RECIST); this lesion should be either proven to be malignant by biopsy or be considered malignant based on its evolution on previous imaging studies. A scan within 3-6 months prior to registration can be used as the baseline scan.
- Age 18 years or older and ability to provide informed consent.
- Subjects must use medically appropriate contraception if sexually active; women of childbearing potential must not be pregnant or breastfeeding
- Subjects must have normal renal function to participate. Standard laboratory testing to evaluate renal function will be performed prior to administering IV contrast and will be available as standard of care. Renal impairment is defined as a glomerular filtration rate of less than 60 ml/min/1.73 m2 BSA, derived from the patients' serum creatinine concentration.
Exclusion Criteria:
- Subjects of reproductive potential, who are sexually active but unwilling and/or unable to use medically appropriate contraception, or women who are pregnant or breastfeeding;
- Established allergy to iodine containing contrast media
Sites / Locations
- Hillman Cancer Center: University of Pittsburgh Cancer Institute / UPMC Department of Radiology
- University of Pittsburgh Cancer Institute - Hillman Cancer Center
- University of Pittsburgh Cancer Institute
Arms of the Study
Arm 1
Arm 2
Other
Other
Arm A CT Perfusion
Arm B CT Perfusion
Arm A Procedure On the first required study visit, subject will undergo one SOC CT scan followed by the research component: CTP imaging: Single bed position CTP examination, which includes injection of 30 cc of contrast agent, over the predetermined lesion from clinical scan Subject will stand up and walk around, and then lay back down CT Perfusion imaging: Second single bed position CTP examination, which includes injection of 30 cc of contrast agent, over the predetermined lesion from their clinical scan Procedures will be repeated at optional second study visit ~6-8 weeks later.
Arm B Procedure On the first required study visit, subject will undergo one SOC CT scan followed by the research component: - CT Perfusion imaging: Single bed position CTP examination, which includes injection of 30 cc of contrast agent, over the predetermined lesion from clinical scan Procedures will be repeated at optional second study visit ~6-8 weeks later.