Breast Cancer
Conditions
Keywords
Breast cancer, metastasis, bone, diffusion MRI
Brief summary
Prospective MR-imaging study : role of magnetic resonance (MR) and Diffusion weighted imaging (DWI) MR in staging and therapy assessment in breast cancer patients with bone metastases.
Detailed description
About 50 patients with a proven breast cancer and bone metastases will be included. First step : staging * nuclear bone scan * Positron Emission Tomography (PET/CT) * MR (whole body short tau inversion recovery (STIR)-sequence and T1-sequence and Diffusion weighted imaging (DWI),no contrast administration Aim : * Validation of whole body diffusion weighted imaging in detection of bone metastases and visceral metastases, comparing to Bone scan en PET/CT results. * To calculate cut-off values for DWI for bone and visceral metastases. Second step : therapy follow-up/therapy assessment. * Two groups of patients (oncologist takes the decision about therapy) 1. Patients treated by chemotherapy 2. Patients treated by hormonal therapy * on week 3, 12-16 and 52 in the chemotherapy or hormonal therapy-setting, a whole body MR (same protocol, no contrast) will be performed. End-point: Whole body MR with DWI is useful and reliable to assess the treatment response.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with a proven breast cancer (by biopsy or imaging) 2. Bone metastases proven by MR, PET-CT or Bone. Patients with visceral metastases can be included if bone metastases are also present. 3. Patient with an informed consent.
Exclusion criteria
1. Patients with a single bone metastasis treated by Radiotherapy will be excluded. 2. Patients with contra-indication for MRI: pacemaker, cochlear implant, non MR compatible devices (Baclofenpump). 3. Claustrophobia 4. Patient in a bad general condition.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Validation of whole body diffusion weighted MRI in breastcancer patients | 6 months | whole body MRI will be correlated to the nucleair bone scan and PET-CT |
Secondary
| Measure | Time frame |
|---|---|
| Whole body MRI with diffusion weighted imaging is a reliable imaging tool for therapy assessment | 12 months |
Countries
Belgium