Head and Neck Cancer Clinical Trial
Official title:
Contribution of Positron Emission Tomography in Biological Targeting by Conformational Radiotherapy and Intensity-modulated Radiotherapy of Ear, Nose and Throat Tumors
RATIONALE: Imaging procedures, such as PET scans, may determine the extent of cancer and
help doctors plan radiation therapy. Radiation therapy uses high-energy x-rays to kill tumor
cells. Giving radiation therapy that uses a 3-dimensional image of the tumor to help focus
thin beams of radiation directly on the tumor, and giving radiation therapy in higher doses
over a shorter period of time, may kill more tumor cells and have fewer side effects.
Specialized radiation therapy that delivers a high dose of radiation directly to the tumor
may kill more tumor cells and cause less damage to normal tissue.
PURPOSE: This clinical trial is studying PET scans to see how well they work in patients
with head and neck cancer who are undergoing 3-dimensional conformal radiation therapy and
intensity-modulated radiation therapy.
OBJECTIVES:
Primary
- To assess the value of pre-treatment PET in determining the target volume in patients
with head and neck cancer undergoing three-dimensional conformational radiotherapy and
intensity-modulated radiotherapy.
Secondary
- To evaluate variations in weekly fludeoxyglucose F 18 PET imaging during the first 5
weeks of treatment.
- To determine the relationship between changes in tumor metabolism during radiotherapy
and control tumor at 3 months and at 1 year post-treatment.
OUTLINE: This is a multicenter study.
Patients undergo fludeoxyglucose F18 PET (FDG-PET) in addition to conventional imaging at
baseline. Patients undergo standard three-dimensional conformational radiotherapy and
intensity-modulated radiation therapy 5 days a week for 5 weeks.
Some patients also undergo weekly FDG-PET during treatment.
;
Allocation: Non-Randomized, Masking: Open Label, Primary Purpose: Diagnostic
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