Prostate Cancer Clinical Trial
Official title:
Clinical Evaluation of Soft Tissue Detection on MRI, Cone Beam CT and Fan Beam CT and Integration of Functional MR Imaging Into Radiotherapy Planning
This clinical trial studies magnetic resonance imaging (MRI), cone beam computed tomography (CT), and fan beam CT in detecting soft tissue in patients with prostate and lung cancer undergoing radiation therapy. Comparing results of diagnostic procedures done before and during radiation therapy may help doctors predict a patient's response to treatment and help plan the best treatment.
PRIMARY OBJECTIVES:
I. Establish the technical feasibility of MRI for performing functional soft-tissue targeting
of radiotherapy in the pelvis and thorax. (Group I) II. Acquire clinical MR imaging data to
evaluate image quality tradeoffs and operational parameter settings. (Group I) III. Validate
the selection of MRI technique factors by comparing visibility of soft tissue structures in
MRIs, cone beam (CB)CTs and fan beam (FB)CTs of the same patient. (Group II) IV. Assess the
feasibility of using deformable image registration to map contours from FBCT to MRI, CBCT to
MRI, MRI to MRI and vice versa. (Group II) V. Compare morphologic and functional changes in
target and normal structures, visualized on MRI, CBCT and FBCT images, in response to
radiation therapy and identify opportunities for treatment adaptation. (Group II)
OUTLINE:
Patients undergo MRI and FBCT at baseline, within the first 3 weeks of radiotherapy and
between week 4 and 6 of radiotherapy. Patients with lung cancer may undergo 4 dimensional
(4D) CBCT on the same day as the second and third MRI and FBCT.
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