Cancer Clinical Trial
Official title:
Colorectal Liver Metastases: Novel Assessment Tools for Technical Resectability (The CoNoR Study)
The CoNoR study aims to assess whether the use of the LiMAx test and the HepaT1ca pre-operative planning magnetic resonance scan impact upon technical resectability decision-making in colorectal liver metastases (CLM).
The CoNoR Study will occur via 4 workstreams:
1. Systematic review of all published criteria for colorectal liver metastases (CLM)
technical resectability (systematic review protocol published on PROSPERO database:
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=136748
2. Expert interviews: Interviews with liver surgeons and radiologists to assess current
standard practice in CLM technical resectability decision-making and role for novel
assessment tools
3. Online questionnaire: Online international questionnaire of liver surgeons to assess
current standard practice in CLM technical resectability decision-making and role for
novel assessment tools, in additional to identifying clinical scenarios in which these
tools may be of greatest benefit
4. Online case-based survey: Recruitment of 10-20 participants with 'difficult decisions'
regarding technical resectability, and consent to use results from pre-operative
assessments to create anonymised online case-based survey. Participants will consent to
have two additional pre-operative assessments: the LiMAx tests and the HepaT1ca magnetic
resonance scan. These results from these additional tests will also be used in the
online survey, We will recruit international liver surgeons to complete this online
survey, where they will be asked to provide an opinion on technical resectability for
each individual case scenario, and to specify their operative plan, both before and
after seeing the results of these novel assessment tools. We will assess for change in
decision-making on resectability, and change in operative plan after seeing these test
results. We will also assess for level of agreement between liver surgeons on each
scenario, and identify where they difficult decisions persist.
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