NCT01549379
Terminated
Not Applicable
Dynamic Contrast Enhanced Computed Tomography (DCE-CT) to Assess Lymph Node Metastases in Head and Neck Cancer: A Prospective Study
ConditionsHead and Neck Cancer
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Head and Neck Cancer
- Sponsor
- Lawson Health Research Institute
- Enrollment
- 1
- Locations
- 1
- Primary Endpoint
- Sensitivity and specificity of DCE-CT in predicting the presence of residual lymph node disease after the completion of chemotherapy
- Status
- Terminated
- Last Updated
- 11 years ago
Overview
Brief Summary
For patients undergoing treatment for head and neck cancer, this study will use dynamic contrast-enhanced CT scans to try to determine which lymph nodes in the neck contain cancer and require surgical removal.
Investigators
David Palma
Radiation Oncologist/Clinician Scientist
Lawson Health Research Institute
Eligibility Criteria
Inclusion Criteria
- •Age 18 or older
- •Willing to provide informed consent
- •ECOG performance status 0-2
- •Histologically confirmed squamous cell carcinoma (includes variants such as verrucous carcinoma, spindle cell carcinoma, carcinoma NOS) of the head and neck
- •Tumor stage: Any (T1-T4)
- •Nodal stage:
- •N2 or N3 (≥ 3 cm) on pre-treatment imaging for radiotherapy cohort (higher likelihood of requiring neck dissection);
- •N1-N3 for surgery cohort. N0 admissible for T4 tumors.
- •Patient assessed at head and neck multidisciplinary clinic (with assessment by radiation oncologist and surgeon), with recommendation for definitive chemoradiation therapy (n=15) or surgery (n=15)
Exclusion Criteria
- •Prior history of head and neck cancer within 5 years
- •Prior head and neck radiation at any time
- •Metastatic disease, or imaging findings suspicious for metastases
- •Prior invasive malignant disease unless disease-free for at least 5 years or more, with the exception of non-melanoma skin cancer.
- •Pregnant or lactating women
- •Contraindication to DCE-CT (e.g. contrast allergy)
Outcomes
Primary Outcomes
Sensitivity and specificity of DCE-CT in predicting the presence of residual lymph node disease after the completion of chemotherapy
Time Frame: 8-10 weeks post treatment
Secondary Outcomes
- Sensitivity and specificity of DCE-CT in predicting presence of lymph node disease at surgery(Approximately 2-6 weeks after enrollment)
Study Sites (1)
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