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Tumor, Brain clinical trials

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NCT ID: NCT05689112 Recruiting - Tumor, Brain Clinical Trials

Microscopy Imaging of Whole-mount Stained Human Tissues

Start date: January 10, 2023
Phase:
Study type: Observational [Patient Registry]

The goal of this clinical trial is to develop an imaging platform for intraoperative tumor margin delineation in 250 cases of tumor-suffered patients. The main questions it aims to answer are: • to develop the protocol of rapid assessment of surgical specimens without need for fixation, embedding, and cryosectioning required for conventional histopathology. Participants will provide a small piece of their surgical specimens from tumor removal surgery . If there is a comparison group: Researchers will compare normal specimens to see if we can observe the difference.

NCT ID: NCT05484245 Recruiting - Clinical trials for Arteriovenous Malformations

Sonography-guided Resection of Brain Mass Lesions

SOMALI
Start date: September 1, 2022
Phase: N/A
Study type: Interventional

Objective of the study is to determine possibilities of intraoperative sonography in detecting of various brain mass lesions, assessing extent of their resection and define indications to use ultrasound-guided needle or ultrasound wire-guided port.

NCT ID: NCT05484219 Recruiting - Clinical trials for Arteriovenous Malformations

Functional Navigation in Surgery of Cerebral Tumors and Vascular Malformations

FUN
Start date: September 1, 2022
Phase: N/A
Study type: Interventional

The purpose of the study is to assess accuracy, advantages of functional neuronavigation and calculate safe distance from motor areas to brain tumors and vascular malformations in image-guided surgery.

NCT ID: NCT05477680 Recruiting - Clinical trials for Arteriovenous Malformations

Intraoperative Brain Shift Calculation Study

BRASH
Start date: September 1, 2022
Phase: N/A
Study type: Interventional

The purpose of the study is to calculate magnitude, type of intraoperative brain shift and assess possibility of it's prediction.

NCT ID: NCT05086497 Recruiting - GBM Clinical Trials

WBSI Guided Personalized Delivery of TTFields

Start date: January 15, 2023
Phase: N/A
Study type: Interventional

This research study is for Glioblastoma (GBM) patients who will be beginning Optune as part of their clinical care, which is a novel treatment that utilizes - tumor treating fields (TTFields), (aka, electrical therapy), which has shown to improve overall survival in large multi-center trials. As a part of this study, participants will either receive Optune with "standard array mapping" (based on regular contrast enhanced MRI) or an "alternative (more precise) array mapping" based on sophisticated state of the art MRI techniques including "whole brain spectroscopy". Whole brain MRI spectroscopy provides additional metabolic information to map out the full extent of tumor spreading within the brain (far beyond from what is seen on regular MRI), by identifying certain metabolites that are present in cancer cells versus healthy tissue. This study is being performed to show whether alternative array mapping improves treatment outcomes, as opposed to the standard array mapping, by maximizing delivery of TTFields dose, thereby achieving more effective tumor cell killing, decreasing the rate of local recurrence, and improving the overall survival as well as quality of life measures.

NCT ID: NCT04859543 Recruiting - Pediatric Cancer Clinical Trials

Pediatric Prospective Personalized Immune and Target Identification Trial

PPROSPERITIT
Start date: February 1, 2021
Phase: N/A
Study type: Interventional

PPROSPERITIT is a prospective clinical study assessing the use of comprehensive molecular profiling to define the best matching targeted and immune treatment for relapsed, refractory or very high risk pediatric CNS tumors.

NCT ID: NCT04249921 Recruiting - Quality of Life Clinical Trials

Evaluation of Acupuncture Effects for Complications After Surgery of Cerebellopontine Angle Tumor in Skull Base

Start date: November 20, 2019
Phase:
Study type: Observational

Skull base tumors are a type of tumor that grow in the area of several skulls behind the cranial cavity. The incidence rate is 2 to 18 per 100,000 people per year; males and females are likely to have a proportional difference in the types of skull base tumors. Cerebellopontine angle (CPA) tumors are the most common neoplasms in the posterior skull base,accounting for 5-10% of skull base tumors.Some different kinds of tumors can grow in cerebellopontine angle. The tumors are more likely to cause some symptoms when they grow large enough to put pressure on the brain. A common traditional treatment for skull base tumors is neurosurgery-craniotomy. However, after the operation, brain may be injured with hematoma, and the instruments used are in contact with the brain. It is still inevitable that there will have complications of minor and major nerve damages, such as facial paralysis,trigeminal neuralgia, tinnitus, sports disorders (ataxia) and so on. Acupuncture has a unique effect on the treatment of the human nervous system. Aim of the study is used acupuncture to improve the complications of the surgery of Cerebellopontine angle tumors in skull base.

NCT ID: NCT04189172 Recruiting - Hydrocephalus Clinical Trials

MiDura-Study (Neuro-Patch in Duraplasty)

MiDura
Start date: February 6, 2020
Phase:
Study type: Observational

The aim of this study is to collect systematically and proactively data regarding the performance of Neuro-Patch, like complications and handling, under daily clinical practice when used as intended by the manufacturer

NCT ID: NCT04163315 Recruiting - Tumor, Brain Clinical Trials

Multimodal Connectome Study of Brain Tumor-operated Patients

ConnecTC
Start date: December 12, 2019
Phase: N/A
Study type: Interventional

In this pilot study, the investigators propose a multimodal evaluation of the brain connectivity of brain tumor patients, in order to better understand the effects induced by focal lesions on brain structure and function, as well as brain plasticity mechanisms that may occur in such condition. The investigators aim at drawing a multimodal brain connectivity map of focally brain-damaged patients, with a view to improve onco-functional neurosurgical practices.

NCT ID: NCT03409549 Recruiting - Tumor, Brain Clinical Trials

Multi-parametric MRI/Fluorine-18 Fluciclovine PET-CT in Glioblastoma

Start date: June 1, 2019
Phase:
Study type: Observational

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.