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Clinical Trials/NCT06233396
NCT06233396CompletedNot Applicable

Uncertainty in Lung SBRT Simulation Based on 4DCT With Different Detector Widths

Tianjin Medical University Cancer Institute and Hospital1 site in 1 country33 target enrollmentStarted: March 1, 2023Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
33
Locations
1
Primary Endpoint
target volume

Study Overview

Brief Summary

Currently there are very few studies using wide-body detectors for 4DCT to determine lung tumor volume and comparing them with conventional detector 4DCT images, and no prospective clinical trials comparing 4DCT images from different width detectors have been queried, therefore, in this study, we will prospectively explore in a body model and patients: 1) the degree of artifacts, tumor volume, and radiation dose of the 4DCT scans performed by different width detectors. differences, and scanning radiation dose. (ii) Whether there are differences in different tumor ITV outlining modalities on 4DCT with different detector widths.

Study Design

Study Type
Observational
Observational Model
Cohort
Time Perspective
Prospective

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Voluntarily participate in and sign the informed consent in person.
  • Over 18 years old, gender unlimited;
  • After imaging diagnosis of primary lung cancer or space-occupying lung lesions with oligometastases, MDT decided to treat SBRT
  • Clinical stage IA-IV (cT1-4N1-3M0-1);
  • No serious abnormality of blood system, heart, lung, liver, kidney function and immune deficiency;
  • Coagulation function: activated partial thromboplastin time (APTT) < the upper limit of normal 10 seconds, prothrombin time (PT) < the upper limit of normal 3 seconds, plasma fibrinogen 2-4g/L;
  • Hemoglobin ≥100g/L, WBC≥4×109/L, neutrophils ≥1.5×109/L, platelets ≥100×109/L
  • Bilirubin < 1.5 times the upper limit of normal value; Glutamic oxalic aminotransferase (ALT) & Glutamic pyruvic aminotransferase (AST) ≤1.5 times the upper limit of normal value;
  • Serum creatinine ≤1.5 times the upper limit of normal value;
  • The willingness of men or women of childbearing age to use contraception in the trial;
  • Physical condition score ECOG level 0 ~ 2;
  • Expected survival >3 months;

Exclusion Criteria

  • Patients could not tolerate or were unwilling to undergo CT examination;
  • The primary lesion has undergone surgery or radiotherapy or chemotherapy or targeted or immunotherapy;
  • Subjects who have received other drug trials within the last 1 month;
  • People with severe allergic history or idiosyncrasies;
  • Patients with a history of severe lung or heart disease;
  • Severe comorbidities, such as uncontrolled hypertension, heart failure, etc.;
  • Pregnant or lactating women;
  • Previous history of malignant tumor;
  • Refusal or inability to sign informed consent to participate in the trial;
  • Currently or planning to participate in other clinical trials;

Outcomes

Primary Outcomes

target volume

Time Frame: 2023.4-2024.1

4DCT ITV delineation

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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