Speekselklier schade naar aanleiding van hoofdhals radiotherapie dry mouth syndrome Xerostomia
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • The patients are above 18 years old and have received (chemo)radiotherapy for primary H&N cancer with curative intent. • Patients can be enrolled after completion of their radiotherapy treatment months from 6 months up to 3 years. • The patients have no previous history of surgery in H&N region. • The patients have provided written informed consent before inclusion in the study.
Exclusion criteria
Exclusion criteria: • The patients have adverse-indication for an MRI scan, such as claustrophobia, pregnancy, pacemaker or implantable defibrillator, metal implants. • Patients with psychological or somatic disorders, limiting the possibilities for adequate follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Objective: To determine the difference of the apparent diffusion coefficient (ADC) mean values and ADC histograms of the salivary glands at rest, between H&N cancer patients reporting late toxicity (grade 2 or higher) of xerostomia, and those reporting no late toxicity. Late toxicity is occurring >=6 months after completion of radiation therapy (RT). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary Objectives: 1. To determine the difference of the ADC mean values and ADC histograms of the salivary glands after gustatory stimulation, between H&N cancer patients reporting late toxicity (grade 2 or higher) of xerostomia, and those reporting no late toxicity. 2. To determine the difference of the Fat Fraction (FF) and T1/T2 maps values of the salivary glands between H&N cancer patients reporting late toxicity (grade 2 or higher) of xerostomia, and those reporting no late toxicity. 3. To compare the visibility of the major salivary ducts at rest and after gustatory stimulation between H&N cancer patients reporting late toxicity (grade 2 or higher) of xerostomia, and those reporting no late toxicity. 4. To investigate associations of the MRI imaging biomarkers studied with self-reported patient symptoms of sticky saliva and swallowing dysfunction, as reported by the patients in the QoL H&N43 questionnaire, and determine intercorrelation between these symptoms. 5. To determine the reproducibility of the primary and secondary objectives, 1 to 3, a 2de MRI will be performed to a subgroup of patients and test retest analysis will be done | — |
Countries
Netherlands