Exploring energy patterns in brain tumours with new imaging technologies (LIFE-GlioB)
- Conditions
- Glioblastoma (glioblastoma multiforme and grade IV astrocytoma)Cancer
Recruitment & Eligibility
- Status
- Ongoing
- Sex
- All
- Target Recruitment
- 22
1. Over 18 years old
2. Able to and provide written informed consent to participate
3. If female, postmenopausal or if women of childbearing potential (WOCBP) using a suitable contraception
4. If male, using a suitable contraceptive method for the duration of the study
1. Contraindication or inability to tolerate MRI
2. Pregnant or actively breast-feeding woman
3. If using an intrauterine contraceptive device (IUCD) as a method of contraception the device should be MRI safe at 3 T (researcher to confirm)
4. High blood glucose level (as determined by the researcher) that may have an impact on the study results
5. Significant medical or psychiatric history rendering the subject ineligible as deemed by the investigators
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method sing MRI imaging:<br>1. 13C. Spatial maps of area under the curve (AUC) timecourse sums of signals from hyperpolarized pyruvate, lactate, and any other metabolites detected, and ratios between these metabolite AUCs. Also estimates of the kinetic rate constants of conversion between injected tracer pyruvate and the metabolites formed (lactate, other). The timecourse typically covers approximately 1 minute beginning approximately 16 seconds after the start of injection.<br>2. DMI. Spectral peak intensity ratios between deuterated water, glucose, glutamate (brain only), lactate and lipids. These will be either in spatial maps derived from 3D spectroscopic imaging, or in unlocalized spectra from the whole sensitive volume of the coil.
- Secondary Outcome Measures
Name Time Method 1. Tumour response evaluations based on RECIST within ten weeks of starting radiotherapy<br>2. Tissue expression (archival or fresh tissue) of metabolic and other markers (such as LDH) measured using RT PCR at the time of standard-of-care surgery. <br>