Tumor, Brain Clinical Trial
Official title:
Multi-parametric MRI/Fluorine-18 Fluciclovine PET-CT in Glioblastoma
Glioblastoma is the most common adult brain tumour with approximately 2000 new cases each
year in the UK.
Optimal treatment consists of surgery followed by radiotherapy and chemotherapy but despite
this survival is poor with only 10% of patients alive at 5 years.
Standard imaging (MRI and CT) may not detect the full extent of tumours before treatment and
it can be difficult to assess how the tumour is responding to treatment.
The study aims to evaluate more advanced imaging techniques to see if they are better at
mapping the whole tumour and assessing response to treatment. Two different imaging
techniques will be assessed: Positron Emission Tomography - Computed Tomography (PET-CT) uses
a mildly radioactive compound injected into the patient which is taken up into brain tumour
cells and shows up as a bright spot on scans. Brain tumours affect blood supply and how much
fluid is in the brain tissue as well as how freely fluid can move around. Advanced MR imaging
known as multiparametric MRI will be used to look at these additional features. This extra
information may help improve planning of radiotherapy and assessing how tumours respond to
treatment. Twelve adult patients with glioblastoma undergoing radical treatment will be
recruited over a 12 month period. Each patient will have standard MR imaging before
radiotherapy (after surgery) and 4-6 weeks following completion of radiotherapy. They will
also have advanced MRI and PET/CT before, during and after treatment.
The aim will be to study if this is feasible and could potentially improve radiotherapy
planning and response assessment. Imaging will be interpreted by both imaging and brain
tumour treatment experts.
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