Cervix cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Patients with locally advanced cervical cancer FIGO stage IB2-IV referred for definitive radio-chemotherapy • Patients where MR guided brachytherapy is part of standard patient treatment • Patients without previous record of allergic reaction to infusion of protocol related contrast media (Gadolinium-based for MR-imaging) • Patients with sufficient kidney function according to local regulations • Patients of 18 years age and over • Cancer of the uterine cervix considered suitable for curative treatment • Positive biopsy showing SQ, AdCA, AdAQ. • Staging according to FIGO and TNM performed • MRI pelvis at diagnosis available • MRI, CT or PET-CT retroperitoneum and abdomen at diagnosis available • MRI pelvis with applicator at BT will be performed • Patient informed consent
Exclusion criteria
Exclusion criteria: • Patients receiving neoadjuvant chemotherapy, hyperthermia or other antineoplastic treatments • Patients with contra indications to MRI • GFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • To evaluate the sensitivity and specificity of DWI-MRI to identify patients who will develop local failure after radio-chemotherapy of cervix cancer | — |
Secondary
| Measure | Time frame |
|---|---|
| • To evaluate the sensitivity and specificity of MRI techniques including (T2-weighted MRI, DCE-MRI) to identify patients who will develop local failure after radio-chemotherapy of cervix cancer • Determining whether there are differences in bias between centres. The difference in bias will be assessed for the T1 and T2 scans and the Ktrans and ADC maps. • Comparison of DWI and T2 tumour volume delineation | — |
Countries
Netherlands