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Evaluation for Benign and Malignant Pulmonary Ground-glass Nodules Based on MRI Dynamic Contrast Enhanced Imaging

Primary Purpose

Pulmonary Nodules

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
MRI scan
Sponsored by
Qianfoshan Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Pulmonary Nodules

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Ground-glass pulmonary nodules found by CT scan
  • Plan to accept surgery or puncture due to the pulmonary nodules
  • Absence of treatment such as chemotherapy or radiotherapy and biopsy
  • Adequate renal function to tolerate intravenous gadolinium
  • Agree to sign informed consent
  • Able to lie still during DCE-MRI

Exclusion Criteria:

  • Fail to understand or agree to sign informed consent
  • Implanted pacemaker or cardiac defibrillator
  • Contraindications to undergoing MRI
  • Uncontrolled intercurrent illness
  • Pregnant or breastfeeding

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    MRI scan

    Arm Description

    All participants will undergo 1 DCE-MRI scan before surgery or puncture.

    Outcomes

    Primary Outcome Measures

    Volume transfer constant (Ktrans)
    Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
    the fractional volume of extravascular extracellular space of the target tissue (ve)
    Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
    the rate constant (kep)
    Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.

    Secondary Outcome Measures

    Full Information

    First Posted
    September 9, 2021
    Last Updated
    October 1, 2021
    Sponsor
    Qianfoshan Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05067023
    Brief Title
    Evaluation for Benign and Malignant Pulmonary Ground-glass Nodules Based on MRI Dynamic Contrast Enhanced Imaging
    Official Title
    Evaluation for Benign and Malignant Pulmonary Ground-glass Nodules Based on MRI Dynamic Contrast Enhanced Imaging
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    November 20, 2021 (Anticipated)
    Primary Completion Date
    December 15, 2022 (Anticipated)
    Study Completion Date
    March 15, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Qianfoshan Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    Computed tomography (CT) is critical for the diagnosis of lung nodules as well as for therapeutic management. Repeated CT examinations will raise the issue of the cumulative radiation dose and subsequent risk of cancer, thus pushing the need for imaging techniques using low or no radiation dose. Magnetic Resonance Imagery (MRI) with ultrashort echo time (UTE) pulse sequences with high signal-to-noise and spatial resolution is a promising alternative for lung nodules imaging.The purpose of the study is to evaluate the value of dynamic contrast-enhanced MR imaging (DCE-MRI) to discriminate of malignant from benign lesions.
    Detailed Description
    Computed tomography (CT) is critical for the diagnosis of lung nodules as well as for therapeutic management. Repeated CT examinations will raise the issue of the cumulative radiation dose and subsequent risk of cancer, thus pushing the need for imaging techniques using low or no radiation dose. Magnetic Resonance Imagery (MRI) with ultrashort echo time (UTE) pulse sequences with high signal-to-noise and spatial resolution is a promising alternative for lung nodules imaging.The purpose of the study is to evaluate the value of DCE-MRI to discriminate of malignant from benign lesions.In this study, the investigators are going to validate the efficacy of the DCE-MRI for diagnosing early lung cancer by comparing results of the pre-surgery MRI imaging with the post-surgery pathology.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Pulmonary Nodules

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    50 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    MRI scan
    Arm Type
    Experimental
    Arm Description
    All participants will undergo 1 DCE-MRI scan before surgery or puncture.
    Intervention Type
    Diagnostic Test
    Intervention Name(s)
    MRI scan
    Intervention Description
    All participants will undergo 1 DCE-MRI scan.
    Primary Outcome Measure Information:
    Title
    Volume transfer constant (Ktrans)
    Description
    Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
    Time Frame
    12 months
    Title
    the fractional volume of extravascular extracellular space of the target tissue (ve)
    Description
    Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
    Time Frame
    12 months
    Title
    the rate constant (kep)
    Description
    Pharmacokinetic parameters will be estimated by fitting a pharmacokinetic model to the actual time-intensity curves obtained from the DCE-MRI.
    Time Frame
    12 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Ground-glass pulmonary nodules found by CT scan Plan to accept surgery or puncture due to the pulmonary nodules Absence of treatment such as chemotherapy or radiotherapy and biopsy Adequate renal function to tolerate intravenous gadolinium Agree to sign informed consent Able to lie still during DCE-MRI Exclusion Criteria: Fail to understand or agree to sign informed consent Implanted pacemaker or cardiac defibrillator Contraindications to undergoing MRI Uncontrolled intercurrent illness Pregnant or breastfeeding

    12. IPD Sharing Statement

    Learn more about this trial

    Evaluation for Benign and Malignant Pulmonary Ground-glass Nodules Based on MRI Dynamic Contrast Enhanced Imaging

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