hypopharyngeal and oropharyngeal carcinoma laryngeal oral and throat cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with clinical suspicion of local recurrence after treated for laryngeal- hypopharyngeal- or oropharyngeal squamous cell carcinoma with (chemo)radiation. Primary (chemo)radiation for the primary tumour region Last radiotherapy: > 2 months and
Exclusion criteria
Exclusion criteria: Patient with contraindication of MRI or contrast agent as defined in the protocols of the radiology department of the UMCU Patients with primary salvage surgery for the primary lesion Patients whom recurrence is obvious that no additional imaging confirmation is necessary for the decision to take biopsies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The outcome of the study is the presence or absence of histological validated recurrent HNSCC within 6 months after the suspicion. The diagnostic performance of DW-MRI for the detection of recurrence in patients with clinical suspicion of recurrent or persistent HNSCC after initial (chemo)radiation as reflected by the positive predictive value, negative predictive value, sensitivity and specificity of DW-MRI. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints are the number of futile biopsy procedures if DW-MRI would be used as selection strategy and the extra yield by DW-MRI; the number of patients with a histological proven recurrence whereby DW-MRI was positive and regular imaging was negative. In addition the missed recurrences with DW-MRI; the number of patients with histological recurrence within 6 months whereby the DW-MRI was negative. | — |
Countries
Netherlands