Brief Title
PET-CT vs. Integrated MR-PET Scanning of GYN Cancers
Official Title
Comparing Preoperative PET-CT With Integrated MR-PET Scanning of Gynecologic Cancers
Brief Summary
This research study is an imaging pilot study. Imaging pilot studies explore the potential
benefit of one imaging approach compared to another clinically accepted approach. Such
studies serve to understand how feasible an approach may be and whether it is worth pursuing
in formal and larger clinical trials. Researchers of this study believe that simultaneous
Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET) imaging will offer
additional imaging information to improve cancer detection.
MRI and PET are two tests that allow us to take pictures of the body and "look inside" the
body without surgery. The MRI scanner uses a powerful magnet to make a picture of the body.
The PET scanner makes pictures by using special dyes that "light up" inside the body. PET
scans use radiation, similar to the radiation in a standard x-ray. We routinely use both
tests to diagnose various types of cancer. As of now, the combination of PET and computed
tomography (CT) has been considered a standard of care imaging approach for various cancers.
Until recently, MRI and PET tests were done separately. Now there is a new type of test
called MR-PET that combines both MRI and PET test results. This scanner uses both MRI and PET
tests at the same time. We would like to find out if the MR-PET scanner can produce better
and clearer images (pictures) of tumors and information about them inside of the body.
This new MR-PET scanner is approved by the US FDA. However, some of the computer programs
that tell the machine how to acquire and combine the test results are new and experimental.
Experimental means that some of the computer programs are not approved by the FDA. This means
that they can only be used in research studies. The MR-PET scanner has been previously used
in a few human participants.
Detailed Description
If you agree to participate in this study you will be asked to undergo some tests and
procedures to confirm that you are eligible. Many of these tests and procedures are likely to
be part of regular cancer care and may be done even if it turns out that you do not take part
in the research study. If you have had some of these tests or procedures recently, they may
or may not have to be repeated. These tests and procedures include a medical history, blood
tests and a urine pregnancy test. If these tests show that you are eligible to participate in
the research study, you will be able to undergo a one time MR/PET imaging session on the same
day you are scheduled for a PET/CT. If you do not meet the eligibility criteria, you will not
be able to participate in this research study.
We will verify that your doctor has ordered a standard PET/CT scan as part of your regular
medical care. You will have that PET/CT scan at teh main MGH Boston campus. As part of the
PET/CT scan, you will have an injection of a radioactive material into your vein. The
radioactive material consists of glucose (sugar) that has been labeled as radioactive. Your
own doctor, the radiologist performing imaging and/or the PET/CT staff will explain this type
of scan to you in more detail. You will be asked to sign a separate consent form for that
PET/CT scan.
PET/CT scanning can make pictures of structures inside the body because the injected
radioactive material "lights up" on the pictures. This shows us details of organs, tissues,
blood vessels, and other structures in your body. The radioactive material breaks down and
leaves your body gradually through the urine. It takes about a day for the radioactive
material to exit your body completely. You will not receive an additional injection of
radioactive material for this MR-PET study.
You will have the standard PET/CT procedures and the study MR-PET scans on the same day.
After you have the PET/CT scan, you will travel to the MGH Charlestown facility for the study
MR-PET scan. It takes about 15 minutes to travel between the main MGH campus and the MGH
Charlestown facility. Although you must fast (no eating or drinking) before the PET/CT scan,
you do not have to fast before the MR-PET scan. You will be able to have a snack before the
scan, if you wish.
During the MR-PET Procedure: We will ask you some standard questions to make sure that you
can safely have an MRI. It is important that you take off anything that contains metal, such
as jewelry, piercings or zippers. You may need to put on a hospital gown. We will also ask
you to empty your bladder before the scan.
We will ask you to lie down on a narrow table. The table will slide you into the center of
the very large MRI scanner, which is shaped like a tunnel. The tunnel is a little wider than
your body. You will need to lie very still during the scanning process.
In order to help hold your head still, we may place foam pillows under and around your head.
The scanner makes loud banging and beeping noises when making pictures, so we will give you
earplugs or headphones to protect your ears.
The top and sides of the tunnel will be close to your face and body, which can make some
people uncomfortable. If you have ever experienced a fear of small spaces (claustrophobia),
please tell the MRI staff. You will be able to hear and speak to the research staff at all
times during the scan. We can stop the scan at any time, if needed.
First, we will make some pictures of your brain and/or whole body.
The PET scan will take place at the same time as the MRI scan using our new MR-PET scanner.
You will not need another injection of radioactive material for our MR-PET scan.
During scanning, we may ask you to do some activities with your hands, look at pictures,
listen to some sounds, or do other things. We will make pictures of your brain during these
activities to test different settings on the scanner.
After your study scans are complete, your time in the study will be over. The whole testing
session will take up to one and a half hours. You may feel a little bit tired afterwards, so
you can rest a bit before leaving the scanning area.
You will be in this research study for about up to one month-this includes the waiting period
until pathology results from the surgery are back. Your actual participation in the study
will only involve that one day when you receive both the PET/CT and PET/MR.
Study Phase
Early Phase 1
Study Type
Interventional
Primary Outcome
Evaluate Diagnostic Sensitivity and Specificity of Preoperative MR/PET vs. PET/CT
Secondary Outcome
Evaluate Additive Diagnostic Value of MRI Fusion
Condition
Cervical Cancer
Intervention
PET-CT
Study Arms / Comparison Groups
Experimental Arm
Description: PET/CT Scan MR-PET Scan
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Procedure
Estimated Enrollment
100
Start Date
March 2013
Primary Completion Date
March 2015
Eligibility Criteria
Inclusion Criteria:
- Histologically confirmed cervical, endometrial or ovarian cancer
- Able to undergo extra-peritoneal or laparoscopic lymph node sampling
- Suitable candidate for surgery
Exclusion Criteria:
- Previous pelvic or abdominal lymphadenectomy
- Evidence of prior pelvic radiation therapy
- Renal dysfunction
- Electrical implants
- Ferromagnetic implants
- Pregnant or breastfeeding
- Pre-existing medical conditions or claustrophobic reactions or any greater than normal
potential for cardiac arrest as determined by treating oncologist
- Unable to lie comfortably on a bed inside the scanner for 60 minutes as assessed by
physical examination and medical history
- Outside circumstances that interfere with the completion of the imaging studies or
required follow-up
Gender
Female
Ages
18 Years - N/A
Accepts Healthy Volunteers
No
Contacts
Michael Birrer, MD, PhD, 6177261941, [email protected]
Location Countries
United States
Location Countries
United States
Administrative Informations
NCT ID
NCT01779128
Organization ID
12-233
Responsible Party
Principal Investigator
Study Sponsor
Massachusetts General Hospital
Study Sponsor
Michael Birrer, MD, PhD, Principal Investigator, Massachusetts General Hospital
Verification Date
January 2013