Unique ID issued by UMIN | UMIN000022010 |
---|---|
Receipt number | R000025362 |
Scientific Title | The prediction using diffusion-weighted MRI of the response evaluation in borderline resectable/locally advanced pancreatic cancer. in patients undergoing neoadjuvant therapy |
Date of disclosure of the study information | 2016/06/01 |
Last modified on | 2021/04/26 08:22:57 |
The prediction using diffusion-weighted MRI of the response evaluation in borderline resectable/locally advanced pancreatic cancer.
in patients undergoing neoadjuvant therapy
The prediction using dMRI of the response evaluation in BRPC/LAPC in NAT.
The prediction using diffusion-weighted MRI of the response evaluation in borderline resectable/locally advanced pancreatic cancer.
in patients undergoing neoadjuvant therapy
The prediction using dMRI of the response evaluation in BRPC/LAPC in NAT.
Japan |
Pancreatic carcinoma
Hepato-biliary-pancreatic surgery |
Malignancy
NO
To investigate the correlation between pretreatment ADC value of diffusion MRI and pathologic response in patients with borderline resectable pancreatic carcinoma who undergo neoadjuvant therapy.
Efficacy
The correlation between pretreatment ADC value of diffusion MRI and pathologic response evaluated by Evans grade in patients with borderline resectable pancreatic carcinoma (BRPC) who undergo neoadjuvant therapy.
1. The correlation between pretreatment ADC value at the abutment site of BRPC and the rate of tumor cell destruction.
2. The correlation between posttreatment ADC value at the abutment site of BRPC and the rate of tumor cell destruction.
3.The correlation between the ratio of posttreatment/pretreatment ADC value at the abutment site of BRPC and the rate of tumor cell destruction.
4.The correlation between pretreatment ADC value of BRPC tumor in a largest diameter and the rate of tumor cell destruction.
5.The correlation between the ratio of posttreatment/pretreatment ADC value of BRPC tumor in a largest diameter and the rate of tumor cell destruction.
6.ADC Cut-off value which predict more than 50% and less than 10% in tumor cell destruction rate.
7.The correlation between the ratio of posttreatment/pretreatment ADC value of BRPC tumor in a largest diameter and the ratio of posttreatment/pretreatment SUV max.
8.ADC Cut-off value and SUV max cut-off value which predict survival time after surgery more than 2 years and less than 2 years.
9. The comparison of the accuracy of prediction for pathological diagnosis at abutment site between the ratio of posttreatment/pretreatment ADC value and CT scan.
10. Three correlation between high ADC value/low ADC value/the ratio of posttreatment/pretreatment ADC value and survival time after surgery.
11. Three correlation between high ADC value/low ADC value/the ratio of posttreatment/pretreatment ADC value and decreasing rate of CA19-9 value.
12.The correlation between tumor's limb sign in diffusion MRI and the rate of tumor cell destruction more than 10%.
Observational
20 | years-old | <= |
Not applicable |
Male and Female
1. Equal to or more than 20 years old.
2. Performance status (ECOG) is 0 or 1.
3. Histopathologically diagnosed as pancreatic ductal adenocarcinoma or adenosquamous carcinoma by cytology, histological examination, or imaging study, and diagnosed as borderline resectable pancreatic carcinoma (BRPC) by MD-CT .
4.Measurable lesion is present.
5.Patients who undergo initial therapy.
6.Meet the definition of BRPC in detail of "7".
7. Fulfill the definition of BRPC in NCCN guideline Version 2.
8.Metallic stent made of Nitinol is allowed to use for biliary drainage.
9.Informed consent is obtained.
1. Without severe drug allergy.
2. With history of malignant disease within 5 years.
3. Active stutus of infectious disease.
4. With metal in body which is contraindication for MRI.
5. With claustrophobia.
6. Incapability to collaborate in respiration.
7. The presensen of uncontrollable ascites.
30
1st name | Ken-ichi |
Middle name | |
Last name | Okada |
Wakayama Medical University
Second department of surgery
641-8510
Kimiidera 811-1, Wakayama city
073-441-0613
okada@wakayama-med.ac.jp
1st name | Ken-ichi |
Middle name | |
Last name | Okada |
Wakayama Medical University
Second department of surgery
641-8510
Kimiidera 811-1, Wakayama city
073-441-0613
okada@wakayama-med.ac.jp
Wakayama Medical University
None
Other
Wakayama Minami Radiology Clinic
none
IRB of Wakayama Medical University
Kimiidera 811-1, Wakayama City
073-447-2300
warinri@wakayama-med.ac.jp
NO
2016 | Year | 06 | Month | 01 | Day |
Unpublished
28
Completed
2016 | Year | 04 | Month | 20 | Day |
2016 | Year | 05 | Month | 30 | Day |
2016 | Year | 06 | Month | 01 | Day |
2021 | Year | 04 | Month | 30 | Day |
2018 | Year | 10 | Month | 31 | Day |
None
2016 | Year | 04 | Month | 21 | Day |
2021 | Year | 04 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025362