Tumour border by means of fluorescenstechnique during surgical resection of brain tumours.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 3-17 years. Planned or acute brain tumour surgery. Patiens with new radiologal findings of infiltative infra- and supratentorial brain tumours. Are the trial subjects under 18? yes Number of subjects for this age range: 20 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Oversensitivity to 5-ALA or porphyria Acute or chronic porphyria Pregnacy Breast feeding Liver, kidney and bloodvalues deviation more than +/-10% from reference values before surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Improve brain tumour resection in children. ;Secondary Objective: Use fluorescence techniques (imaging and point measurements) for finding tumour border during resection. Compare fluorescence recordings in the microscope and point measurements with histology and other imaging techniques used (e.g. MRI, ultrasound), and naked eye assessment by the surgeon. ;Primary end point(s): The fluorescense microscopy increase the possibility to identify the tumour margins during tumour resection. The probe technology detect weak fluorescence better than the microscope in the tumour and tumour border zone. ;Timepoint(s) of evaluation of this end point: During surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The fluorescens intensity recorded by the probe is objectified and calculated as a number displaying the strength. The number is especially helpful in the borderzon, compared to the microscope. The fluorescence strength and the biopsy results agree and can be devided into groups representing different tissue types. The resected volume as calculated from the MRI is related to the clinical outcome of the operation. ;Timepoint(s) of evaluation of this end point: Postoperatively within three months after surgery. | — |
Countries
Sweden
Contacts
Department of Biomedical Engineering