Renal Cancer
Conditions
Brief summary
The objective of this study is to apply advanced diffusion imaging in a two-pronged assessment of renal mass patients: (1) characterization of lesion malignancy and subtype, and (2) prediction of renal function stability or decline following partial nephrectomy.
Interventions
Participants will undergo a 1-hour research MRI scan.
Participants will receive radioisotope (99mTc-DTPA) injection (5 mCi) during 3-5 hour scanning session to estimate measured glomerular filtration rate (mGFR).
Sponsors
Study design
Eligibility
Inclusion criteria
* Renal mass patients scheduled for laparoscopic partial nephrectomy. * eGFR above 30 ml/min/m2. * Ages 21 to 85 * Must be willing and able to provide consent.
Exclusion criteria
* All metal implants and dental implants that have ferromagnetic properties and are unsafe at 3.0 T. * Pregnant women are not eligible for participating in this study. * Acute claustrophobia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Times Lesion Type is Correctly Predicted using IVIM-MRI at Pre-Surgery | Baseline (1 Week Prior to Operation) | Intravoxel incoherent imaging-MRI (IVIM-MRI) data will be used to predict lesion type. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Times Post-Surgical Renal Function is Correctly Predicted Using REFMAP-MRI at Pre-Surgery | Up to Year 1 Post-Operation | Results from the Renal Flow and Microstructure AnisotroPy-MRI (REFMAP-MRI) pre-surgical scan will be considered as predictors for either stability in renal function or incremental decline in renal function following surgery that would lead to chronic kidney disease (CKD), as defined by mGFR values and proteinuria status at follow-up. Post-surgical renal insult will be assessed based on either mGFR decline by over 2 ml/min/1.73 m2 per year or the appearance of proteinuria. |
Countries
United States