Glioma Clinical Trial
Official title:
Image Guided Adaptive Multi-modality Therapy in the Treatment of Gliomas
RATIONALE: New imaging techniques using magnetic resonance imaging give better tumor
definition, thus may lead to better tumor targeting and avoid damaging critical parts of
normal brain.
PURPOSE: This phase I/II trial is studying how well image-guided therapy works in treating
patients with newly diagnosed intracranial glioma.
PRIMARY OBJECTIVES:
I. To correlate the imaging findings with pathological grade following surgery in patients
with newly diagnosed intra-cranial gliomas.
SECONDARY OBJECTIVES:
I. To determine the feasibility of defining the optimal target volume for radiation therapy
using MR spectroscopy, diffusion, perfusion and functional imaging. II. To monitor
therapeutic responses following treatment using MR spectroscopy, diffusion imaging and
perfusion study.
III. To monitor changes in neurocognitive functioning following image guided therapy.
OUTLINE: Patients undergo magnetic resonance spectroscopic imaging, functional magnetic
resonance imaging (MRI), diffusion-weighted MRI, and perfusion-weighted MRI. Patients then
undergo maximum surgical resection followed by intensity-modulated radiation therapy (IMRT) 5
days a week for 6 weeks. After completion of study treatment, patients are followed up every
3 months for the first year then every 6 months for another year.
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