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The impact of combined modality positron emission tomography with computerised tomography scanning (PET/CT) in the diagnosis and management of pancreatic cancer

Not Applicable
Completed
Conditions
Topic: Cancer, Surgery
Subtopic: Upper Gastro-Intestinal Cancer, Surgery
Disease: Pancreas
Cancer
Registration Number
ISRCTN73852054
Lead Sponsor
niversity of Liverpool
Brief Summary

2018 results in https://www.ncbi.nlm.nih.gov/pubmed/29402376

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
589
Inclusion Criteria

1. Patients with suspected pancreatic malignancy as defined by one or more of:
1.1.Focal lesion in the pancreas/bulky pancreas/dilated pancreatic duct (+/- metastases) detected on Multidetector CT scan (+/- MRI/EUS/USS)
1.2.Jaundice due to distal obstruction of the common bile duct or ampulla (not due to calculi) defined as serum bilirubin. 35 µmol/l
1.3.Serum CA19.9 value above 37KU/l
2. Able to attend for PET/CT scan
3. Able to undergo Multidetector CT scan
4. Able to attend for up to 12 months follow-up
5. Fully informed written consent given
6. Gender: Male & Female
7. Lower Age Limit 18 years

Exclusion Criteria

1. Patients younger than 18 years
2. Pregnancy
3. Patients with poorly controlled diabetes

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The incremental diagnostic accuracy and impact of PET/CT to standard diagnostic work up; Timepoint(s): Outcome time point will be assessed after 12 Months of follow up
Secondary Outcome Measures
NameTimeMethod
<br> 1. Determine cost effectiveness of addition of PET/CT in diagnosis, staging and management.; Timepoint(s): After 12 months follow up<br> 2. Evaluate addition of PET/CT in differentiating pancreatic malignancy from chronic pancreatitis; Timepoint(s): After 12 months follow up<br> 3. Evaluate change in diagnosis, staging and intended patient management through the addition of PET/CT; Timepoint(s): After 12 months follow up<br> 4. Report the incremental diagnostic value of PET/CT for particular types of pancreatic tumour; Timepoint(s): After 12 months follow up<br> 5. To identify which groups of patients would most benefit from PET/CT; Timepoint(s): After 12 months follow up<br>
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