Pelvic lymph node metastasis in rectal cancer.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Voluntarily given and written informed consent. Over 18 years of age. Newly-diagnosed rectal cancer patients scheduled for direct surgery or short course radiotherapy (SCRT) followed by surgery. 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 60 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 60
Exclusion criteria
Exclusion criteria: Metastatic disease or T1-disease. Allergy to hypersensitivity to Ferumoxtran-10 or its components. Patients with any known history of drug allergy (including hypersensitivity) to other iron products. Clinically documented or risk of primary or secondary iron overloading (e.g. history of thalassemia, sickle cell anemia, hereditary hemochromatosis, multiple transfusions with any reason). Patients refusing or unable to give informed consent. Lactation or pregnant women. Women of childbearing potential cannot be included if they dont't take precautions against pregnancy. Prior abdominopelvic radiation. Prior abdominopelvic malignancies. Contraindications for MRI (ie. ferromagnetic metallic implants, claustrophobia, MR-incompatible pacemakers, MR-incompatible prosthetic heart valves, severe obesity etc.).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Assessment of clinical nodal stage (cN-stage) accuracy of Ferumoxtran-10-enhanced (USPIO) Magnetic Resonance Imaging (MRI) compared to histopatologic pN-stage of newly-diagnosed rectal cancer (RC) patients;Secondary Objective: Effect of Ferumoxtran-10-enhanced (USPIO) Magnetic Resonance Imaging (MRI) cN-stage assesment on treatment planning compared to conventrional MRI.;Primary end point(s): Accuracy, spesificity and sensitivity of USPIO-MRI.;Timepoint(s) of evaluation of this end point: After TME-surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): After TME-surgery.;Timepoint(s) of evaluation of this end point: 1 to 4 week after USPIO-MRI. | — |
Countries
Finland
Contacts
Turku University Hospital