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Preoperative staging by combidex MRI in patients with resectable esophageal carcinoma

Phase 2
Completed
Conditions
esophageal cancer
esophageal carcinoma
10017998
Registration Number
NL-OMON43056
Lead Sponsor
Radboud Universitair Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
16
Inclusion Criteria

* Patients with histologically proven primary esophageal adenocarcinoma or squamous cell carcinoma, who are planned to undergo a esophagectomy after nCRT
* Patients with suspected lymph nodes metastases on EUS or CT before nCRT
* Age > 18 years
* Providing informed consent

Exclusion Criteria

* Unable to provide informed consent
* Known pregnancy or breastfeeding
* Contra-indications for MRI
- Epilepsy
- Metal implants that are not compatible with MRI
* Contra-indications for USPIO based contrast agents
- Prior allergic reaction to ferumoxtran-10 or any other iron preparation
- Prior allergic reaction contributed to dextran or other polysaccharide, in any preparation
- Prior allergic reaction to contrast media of any type
- Hereditary hemochromatosis, thalassemia, sickle cell anemia
- Inflammatory diseases of the abdomen

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Evaluation of the feasibility and diagnostic accuracy of nano-MRI in detecting<br /><br>locoregional lymph nodes metastases after nCRT prior to surgery</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>- Identify the quantitative and qualitative effect of controlled mechanical<br /><br>ventilation motion compared with *breathhold* in detection of lymph node<br /><br>metastases with nano-MRI after nCRT.<br /><br><br /><br>- Diagnostic accuracy of the nano-MRI in detecting metastases in locoregional<br /><br>lymph nodes in the surgical specimen, ex-vivo after nCRT.<br /><br><br /><br>- Diagnostic accuracy of nano-MRI for staging primary esophageal cancer (CT,<br /><br>PET, EUS). </p><br>
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