Rectal Adenocarcinoma
Conditions
Keywords
chemotherapy, rectal adenocarcinoma, proctectomy, Fmiso TEP, MRI
Brief summary
The objective of the present project is to validate the feasibility of a multimodal radiological pathway while on chemoradiotherapy, in order to validate potentially predictive factors for chemoradiotherapy sensitivity of rectal adenocarcinomas.
Detailed description
The objective of the present project is to validate the feasibility of a multimodal radiological pathway while on chemoradiotherapy, in order to validate potentially predictive factors for chemoradiotherapy sensitivity of rectal adenocarcinomas. It is based on a structured clinical and radiological pathway for patients, using diffusion MRI and F misonidazole PET. Validation of these new tools is already needed in clinical practice since future institutional trials will be based on treatment individualisation, using preoperative predicting factors.
Interventions
Pelvic MRI and F MISO TEP: before inclusion, 2 weeks after beginning and 7 weeks after completion of chemoradiotherapy.
Sponsors
Study design
Eligibility
Inclusion criteria
* locally advanced (≥T3) resectable rectal adenocarcinoma between 2 and 10 cm from the anal verge.
Exclusion criteria
* synchonous metastatis * previous malignant tumour * previous radiotherapy/ chemotherapy * performance status WHO\>2 * contraindication to 5 FU
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| acceptation rate of the entire sequence by eligible patients | 13 weeks | acceptation rate of the entire sequence by eligible patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| radiological changes while on chimiotherapy, to tumour regression, and prognosis | 13 weeks | radiological changes while on chimiotherapy, to tumour regression, and prognosis |
Countries
France