Cancer
Conditions
Keywords
fluorodeoxyglucose, positron emission tomography, computed tomography, bowel, pinaverium bromide
Brief summary
1. Background 1. PET/CT (positron emission tomography/computed tomography) using FDG (fluorodeoxyglucose) is widely used for evaluation of cancer patients. 2. Bowel uptake of FDG is a serious problem that hampers the proper reading of PET/CT. 3. There is no widely-accepted method to reduce the bowel FDG uptake. 2. Purpose 1. To know whether pinverin (pinaverium bromide) application during PET/CT can reduce bowel uptake of FDG. 2. Pinverin is a calcium-channel blocker that ameliorates the bowel contraction. 3. Pinverin may be useful to reduce bowel FDG uptake by ameliorating the bowel contraction during PET/CT acquisition. 3. Method 1. Intervention versus control: administration of single tablet of pinverin (50mg) perorally versus simple water (\ 100mL). 2. Timing of administration: At the time of FDG injection. PET/CT images will be acquired 1hr post FDG injection. 4. Primary outcome 1. SUV (standardized uptake value) difference between pinverin administered patient group versus control group. 2. SUV (standardized uptake value) is calculated as: (decay corrected radioactivity in mCi/mL) x (body weight in g) / (injected radioactivity in mCi)
Interventions
pinverin 50 mg per oral single dose versus simple water ingestion
same amount of water for pinverin administration
Sponsors
Study design
Eligibility
Inclusion criteria
* Any cancer patients * Candidate of positron emission tomography/computed tomography
Exclusion criteria
* Diabetes mellitus * Inflammatory bowel disease * Irritable bowel syndrome * Peritoneal carcinomatosis * Peritonitis * Abdominal pain * Diarrhea * Medical test requiring bowel preparation within 1 month * History of abdominal surgery * Symptom or sign of colitis * Pregnancy or lactation * Hypersensitivity to pinaverium bromide * Lactate intolerance * Anit-depressant medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| SUV (standardized uptake value) | 1 hour after FDG (the radiopharmaceutical for PET/CT) injection | SUV is the quantitative parameter of FDG uptake during PET/CT and represents the degree of relative FDG uptake in a specific lesion. SUV is calculated as: (decay-corrected radioactivity in mCi/mL) x (body weight in g) / (injected radioactivity in mCi). The unit of SUV is g/mL. |
Countries
South Korea