Li-Fraumeni Syndrome
Conditions
Brief summary
Li-Fraumeni Syndrome (LFS) is a cancer predisposition disorder in which most affected individuals develop cancer during their lifetime. The majority of LFS patients carry a mutation in a gene called TP53, whose normal function is to control cell growth and prevent cells with damaged DNA from becoming cancerous. There is currently no way to determine when, where or what type of tumour will develop. This project will use novel techniques utilizing magnetic resonance imaging (MRI) to determine how sensitive they are at detecting very small tumors and how specific they are in terms of distinguishing malignant tumors from benign tumors.
Interventions
Standard technique that detects abnormalities related to excess of water in tissues (edema).
MRI technique that analyzes areas of dead cells within tissues, present in some types of tumor.
MRI technique that detect's the cells' use of glucose, more intensely in harmful cells.
Sponsors
Study design
Eligibility
Inclusion criteria
* LFS kindreds who either carry a known TP53 mutation or are obligate mutation carriers
Exclusion criteria
* General contraindications for an MRI scan (ferromagnetic prostheses, pacemaker, or other implants incompatible with the magnetic field of the MR scanner), claustrophobia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of imaging traits on suspected tumors | Through study completion, an average of 2 years | Imaging traits include: signal heterogeneity, mass effect, and neurovascular bundle involvement (recorded on STIR MRI); necrosis, and signal/necrosis ratio (recorded on STIR and DW MRI): FDG metabolic activity and uptake (PET-MRI) or other additional imaging findings. Results will be combined and analyzed for extraction of imaging-gene expression phenotypes. |
Countries
Canada