Ewing Sarcoma, Osteosarcoma
Conditions
Keywords
Diffusion weighted MRI, Patient outcome assessment, Treatment response, Histopathology
Brief summary
The purpose of the study was to investigate whether functional MRI imaging (diffusion weighted imaging) is useful for monitoring the therapeutic response of bone sarcomas in children and young adults. All patients will be scanned before, during and after chemotherapy. The findings on MRI will be correlated with histological finding after surgery. Second purpose : to define apparent diffusion coefficient value of the bone sarcoma. Third purpose : to try define prognostic factors, to investigate if there is a correlation between early treatment response and outcome.
Interventions
MRI exam will be performed in all patients included in the study. The patients will be treated by chemotherapy, defined in the EURO-EWING or EURAMOS protocol. The MR findings will not have any impact on the treatment.
Sponsors
Study design
Eligibility
Inclusion criteria
* Ewing or Osteosarcoma, proven by biopsy and histopathology * all patients are treated by chemotherapy defined by EURAMOS and EURO-EWING protocol
Exclusion criteria
* Patients under the age of 6 years old * patients with contra-indication for MR exam (pace-maker...) * Patients with renal insufficiency * Claustrophobia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| tumor necrosis - therapy response | 6 months | correlation of MRI findings with clinical findings during chemotherapy correlation of diffusion weighted MRI and histopathology results after surgical resection. Calculation of apparent diffusion coefficient : is it a valuable parameter? |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prognosis and outcome | 2 years | Is there a correlation between early treatment response and outcome? Is diffusion weighted MRI able to predict outcome of the patient (prognostic factor)? |
Countries
Belgium