Detection of locoregional lymph node metastases in patients with resectable esophageal carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Patients with recently biopsy proven esophageal cancer, who are planned to undergo a esophagectomy with nCRT • Patients with suspected lymph nodes metastases on EUS or CT before nCRT • Age > 18 years • Providing informed consent 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 20 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Unable to provide informed consent • Known pregnancy or breastfeeding • Contra-indications for MRI - Epilepsy - Metal implants that are not compatible with MRI • Contra-indications for USPIO based contrast agents - Prior allergic reaction to ferumoxtran-10 or any other iron preparation - Prior allergic reaction contributed to dextran or other polysaccharide, in any preparation - Prior allergic reaction to contrast media of any type - Hereditary hemochromatosis, thalassemia, sickle cell anemia - Known liver or renal insufficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the feasibility and diagnostic accuracy of nano-MRI in the evaluation of locoregional lymph nodes metastases in patients with esophageal cancer whom underwent nCRT and study the effect of nCRT on the detection of locoregional lymph nodes metastases with nano-MRI.;Secondary Objective: -Diagnostic accuracy of the nano-MRI under anesthesia and controlled mechanical ventilation motion in detecting metastases in locoregional lymph nodes in patients with esophageal cancer whom underwent nCRT -Diagnostic accuracy of the nano-MRI in detecting metastases in locoregional lymph nodes ex-vivo after nCRT -Identify the effect of CRT on the detection of lymph nodes metastases with nano-MRI -Identify the quantitative effect of anesthesia and controlled mechanical ventilation motion MRI compared with ‘breathhold’ MRI. -Compare the diagnostic accuracy of nano-MRI with clinical staging results of primary esophageal cancer (CT, PET, EUS) ;Primary end point(s): Diagnostic accuracy of nano-MRI in detecting of locoregional lymph nodes metastases;Timepoint(s) of evaluation of this end point: After nCRT | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Diagnostic accuracy of ex-vivo nano-MRI in detecting locoregional lymph nodes metastases with ‘breathhold’ - Diagnostic accuracy of ex-vivo nano-MRI in detecting locoregional lymph nodes metastases with - Diagnostic accuracy of ex-vivo nano-MRI in detecting locoregional lymph nodes metastases - Effect of locoregional lymph nodes metastases before nCRT ;Timepoint(s) of evaluation of this end point: before and after nCRT | — |
Countries
Netherlands
Contacts
Radboudumc