Magnetic Resonance Thermal Image Guided Laser Interstitial Thermal Therapy in Treating Patients With Breast Cancer
- Conditions
- Invasive Ductal Breast CarcinomaStage IB Breast CancerDuctal Breast Carcinoma in SituStage IA Breast Cancer
- Interventions
- Procedure: magnetic resonance thermal imagingProcedure: laser interstitial thermal therapy
- Registration Number
- NCT01791998
- Lead Sponsor
- University of Chicago
- Brief Summary
This pilot clinical trial studies magnetic resonance thermal image guided laser interstitial thermal therapy in treating patients with breast cancer. Magnetic resonance thermal image guided laser interstitial thermal therapy may be able to kill tumor cells by heating up the tumor cells without affecting the surrounding tissue
- Detailed Description
PRIMARY OBJECTIVES:
I. To evaluate the procedural success rate of using the Visualase magnetic resonance (MR)-guided laser system to target, access, thermally monitor, and focally ablate MR-visible breast cancer lesions.
2. To obtain preliminary data on ablative success using pathologic assessment for specimen excised subsequent to the ablation.
OUTLINE:
Patients undergo MR-thermal image guided laser interstitial thermal therapy (LITT) over 1 hour.
After completion of study treatment, patients are followed up at 3-7 days.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- Female
- Target Recruitment
- Not specified
- Postmenopausal state
- Histological diagnosis of breast invasive ductal carcinoma with receptor profiles obtained
- MRI visible breast lesion
- Unifocal cancer, less than 1.5 cm in maximum diameter (clinical stage T1), with no evidence of extensive in situ cancer surrounding the main tumor; the eligibility will be determined by the MR imaging appearance of the tumor; if the tumor (proven invasive ductal carcinoma) is a unifocal mass without additional enhancement, it will be judged eligible; however, if the tumor is associated with additional enhancement and/or a satellite focus, it will not judged ineligible, as these are signs of additional in situ or invasive cancer
- Clinical stage N0 (no metastatic axillary lymph node on physical examination or imaging work-up)
- Ability to give informed consent
- Previous surgery or radiation for the ipsilateral breast cancer
- Presence of any condition (e.g., metal implant, shrapnel) not compatible with MRI
- Tumor located less than 1 cm from the skin or the pectoralis muscle
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Treatment (MR-thermal image guided LITT) magnetic resonance thermal imaging Patients undergo MR-thermal image guided LITT over 1 hour. Treatment (MR-thermal image guided LITT) laser interstitial thermal therapy Patients undergo MR-thermal image guided LITT over 1 hour.
- Primary Outcome Measures
Name Time Method Grade 3 or 4 toxicities assessed by the National Cancer Institute (NCI) Common Toxicity Criteria (CTC) Up to 7 days Frequency of not completing the procedure due to patient's discomfort Up to 7 days Observed thermal damage on skin Up to 7 days Moderate degree of skin burn which requires medical intervention will be considered side effects for stopping purposes.
- Secondary Outcome Measures
Name Time Method Amount of tumor necrosis Up to 7 days Amount of viable tumor Up to 7 days
Trial Locations
- Locations (1)
University of Chicago Comprehensive Cancer Center
🇺🇸Chicago, Illinois, United States