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Assessment of Complete Response MRI Criterion After Neoadjuvant Therapy in Locally Advanced Rectal Cancer

Completed
Conditions
Rectal Neoplasms
Registration Number
NCT05534841
Lead Sponsor
Centre Hospitalier Universitaire de Nīmes
Brief Summary

Standard care for locally advanced rectal cancer consists in a neoadjuvant therapy followed by surgery. Morbidity and mortality remain high after rectal surgery, and often linked with quality of life impairment. 10 to 30% present a pathological complete response after neoadjuvant therapy. Some surgical teams propose "watch and wait" approach for patients selected with clinical complete responses criterion. The problem is to be sur the response is complete. MRI seems to be accurate to select complete responders. We will try to find MRI criterion of complete responses.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
99
Inclusion Criteria
  • Rectal adenocarcinoma
  • Locally advanced
  • Neoadjuvant therapy
  • MRI restaging
  • Rectal surgery
  • Definitive anatomopathology study
Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Complete response MRI criterionDay 0: immediately after the procedure

We selected several objective MRI criterion among literature and compared them between the two groups.

Secondary Outcome Measures
NameTimeMethod
MRI accuracyDay 0: immediately after the procedure

Calculated Sensitivity, Specificity, Positive Predictive Value and Negative Predictive Value.

Trial Locations

Locations (1)

Chu de Nîmes

🇫🇷

Nîmes, Gard, France

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