Lymph node metastases in rectal cancer, breast cancer and cancer in general
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: General criteria: - Age > 18 years Inclusion criteria rectal cancer patients: - Patients with recently histologically proven rectal cancer, who are planned to undergo a total mesorectal excision without neo-adjuvant radiotherapy. - Inclusion criteria breast cancer patients: - Patients with recently histologically proven breast cancer (Stage II), who are planned for surgery with sentinel node procedure, but will receive no neo-adjuvant therapy. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 30
Exclusion criteria
Exclusion criteria: General exclusion criteria: - BMI > 30 kg/m2 - Pregnancy - Karnofsky score <= 70 - Contraindications for 7T MRI: o Epilepsy o Inability to provide informed consent o Metal implants that are not compatible with 7 Tesla MRI - Contraindications to USPIO based contrast agents: o prior allergic reaction to ferumoxtran-10 or any other iron preparation o prior allergic reaction contributed to dextran or other polysaccharide, in any preparation o prior allergic reaction to contrast media of any type o hereditary hemochromatosis, thalassemia, sickle cell anemia; Exclusion criteria for rectal cancer: - Inflammatory diseases of the abdomen (such as Crohn’s disease) - Previous abdominal surgery or radiotherapy Exclusion criteria for breast cancer: - Prior radiotherapy or surgery to axillae
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Validate the results of Nano MRI (use of MRI in combination with ferumoxtran) with actual pathology in rectal and breast cancer;Secondary Objective: Not applicable;Primary end point(s): Sensitivity and specificity of 7T MRI scans with Sinerem enhancement for lymph node metastasis detection. We will make a subdivision into small (<5mm) and large nodes(=5mm).;Timepoint(s) of evaluation of this end point: 1 day after administration of ferumoxtran using 7 Tesla MRI | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): NA;Timepoint(s) of evaluation of this end point: NA | — |
Countries
Netherlands
Contacts
Radboudumc