Cancer (High-grace Glioma)
Conditions
Keywords
Neurosurgery, Neuronavigation, Positron emission tomography, FDOPA
Brief summary
The 18F-FDOPA PET tracer is an amino acid analogue that can be used to visualize high-grade glioma not clearly identified on diagnostic MRI. Use of 18F-FDOPA PET will permit neurosurgeons to achieve a complete resection more frequently.
Interventions
Subjects will undergo preoperative 18F-FDOPA PET imaging, which will be used in neuronavigation software to guide resection of their high-grade glioma. Postoperative 18F-FDOPA PET imaging will be obtained to determine the extent of resection.
Sponsors
Study design
Eligibility
Inclusion criteria
* Contrast-enhancing mass on diagnostic brain CT or MRI strongly suggesting a diagnosis of WHO grade III or IV glioma * Karnofsky Performance status (KPS) ≥ 70 * Age ≥18 years * Subject is able to understand and consent to study * Glomerular filtration rate (GFR) ≥ 45 ml/minute
Exclusion criteria
* Indication for urgent craniotomy to relieve mass effect * Only stereotactic biopsy indicated because tumour is located in eloquent brain. * The enhancement on the T1 MRI sequence involves or abuts the basal ganglia * Previous intracranial malignancy or any invasive malignancy unless free of disease \> 5 years * Prior cranial irradiation * Contra-indications to systemic radiation exposure: pregnancy or breast feeding * Subject exceeds the weight limit of the PET scanner bed (204.5 kg) * Subjects taking medication such as Levodopa for the treatment of Parkinson's Disease * Allergies or other contraindication to CT contrast or MRI contrast
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of subjects that have a complete resection of the volume of 18F-FDOPA PET tracer on their postoperative 18F-FDOPA PET scan. | Less than 72 hours postoperatively |
Countries
Canada