Lung Cancer
Conditions
Keywords
4-Dimensional Computed Tomography
Brief summary
To evaluate the correlation between pre-surgical 4DCT-ventilation imaging and post-surgical lung function.
Detailed description
To evaluate the correlation between pre-surgical 4-Dimensional Computed Tomography-ventilation (4DCT-ventilation) imaging and post-surgical lung function. To determine whether 4DCT-ventilation is a better predictor of post-surgical lung function than nuclear medicine imaging using pulmonary function tests (PFTs). To determine whether 4DCT-ventilation is a better predictor of post-surgical lung function than nuclear medicine imaging using quality of life (QOL) questionnaires. Evaluate cost-effectiveness of using 4DCT-ventialtion and VQ scans for pre-surgical assessment. To use longitudinal (pre and post-surgical) 4DCT-ventilation imaging to derive novel post-surgical prediction formulas.
Interventions
4DCT-ventilation is an imaging modality that provides superior image quality, reduced cost, and a faster imaging procedure compared to nuclear medicine VQ scans.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Provision to sign and date the consent form. 2. Stated willingness to comply with all required (non-optional) study procedures and be available for the duration of the study. 3. Be a male or female aged 18 to 100. 4. Patient with lung cancer (presumed or biopsy proven) currently undergoing or having undergone evaluation for resection. 5. Lung function assessment required for pre-surgical evaluation at the discretion of the cardiothoracic surgeon. 6. Life expectancy greater than 3 months.
Exclusion criteria
1\. Patients getting a planned wedge resection as the only thoracic resectional procedure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pre-Surgical Imaging and Post-Surgical Lung Function | Baseline visit to follow up visit, up to 9 months. | Measure the correlation between pre-surgical 4-Dimensional Computed Tomography-ventilation (4DCT) imaging and post surgical lung function using a Percent Predicted Post-Operative Pulmonary Function Test (%PPO PFT). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ability of %PPO PFTs | Start of study to end of study, up to 2 years | Use %PPO PFTs to determine if 4DCT-ventilation is a better predictor of post surgical lung function than nuclear medicine imaging |
| Quality of Life (QOL) | Start of study to end of study, up to 2 years | Use QOL questionnaires to determine if 4DCT-ventilation is a better predictor of post surgical lung function than nuclear medicine imaging. |
| Cost-Effectiveness | Start of study to end of study, up to 2 years | Determine the cost-effectiveness of 4DCT-ventialtion and VQ scans for pre-surgical assessment using Receiver Operator Characteristic (ROC) analysis. |
| Longitudinal Imaging Changes | Start of study to end of study, up to 2 years | Derive novel post-surgical prediction formulas using longitudinal 4DCT-ventilation imaging |
Countries
United States