Role of PET CT in Determining Target Volumes in Radiation Therapy for Lung Cancer
Can PET CT Coregistration Imaging Adequately Determine the Gross Tumor Volume and Microscopic Extension in Non-Small Cell Lung Cancer Patients for Radical Radiation Therapy?
2 other identifiers
interventional
31
1 country
2
Brief Summary
Radiation therapy is an important part of the treatment for lung cancer when treatment intent is for cure. Radiation is a local modality of treatment, that is, it only treats the area that the radiation can target. Therefore it is critical to be able to visualize all the areas of tumor involvement. With current imaging tests such as computed tomography scans (CT), the scans may not be sensitive enough to detect all areas of cancer involvement but with newer imaging tests, such as positron emission tomography (PET), the investigators may be able to better target all the tumor that the CT scan may miss. There are two clinical trials being conducted by the Ontario Clinical Oncology Group (OCOG)looking at PET in lung cancer. This proposal is a companion study to the OCOG PET lung trials. In brief, this study will evaluate the ability of CT alone versus combined PET CT imaging to determine the size of the tumor (or gross tumor volume) along with the tiny extensions of cancer cells (or microscopic extension). The gross tumor volume and its extension as determined by CT or PET CT will then be compared to measurements made on the surgically removed tumor. Treatment with radiation therapy must include all the gross tumor and its extension in order to be successful for cure. If the radiation treatment does not treat all the identified tumor then the chance for cure is lost. There have only been two previous reports of the ability of CT to determine the gross tumor volume and its extension. There are no similar reports using PET CT. This study will be the first of its kind to evaluate how accurate PET CT can be in detecting the gross tumor and its microscopic extension using the surgically removed tumor measurements as the gold standard. If PET CT is able to more accurately determine the tumor volume including its microscopic extension, then this will help oncologists to better treat lung cancer using more accurate radiation treatment volumes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for early_phase_1 nonsmall-cell-lung-cancer
Started Oct 2005
Typical duration for early_phase_1 nonsmall-cell-lung-cancer
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 22, 2005
CompletedStudy Start
First participant enrolled
October 1, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2009
CompletedFebruary 5, 2009
February 1, 2009
2.7 years
September 13, 2005
February 4, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical pathological correlation of PET CT with surgically resected NSCLC
2 years
Study Arms (1)
surgical candidates
OTHERsurgical candidates who underwent PET CT evaluation
Interventions
Eligibility Criteria
You may qualify if:
- Surgically resectable non-small cell lung cancer
- Companion clinical trial to OCOG PET Lung trials
You may not qualify if:
- Unresectable non-small cell lung cancer
- Unable to undergo PET CT evaluation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Toronto Sunnybrook Regional Cancer Centrelead
- Ontario Cancer Research Networkcollaborator
- Ontario Clinical Oncology Group (OCOG)collaborator
Study Sites (2)
Toronto Sunnybrook Regional Cancer Centre
Toronto, Ontario, M4N 3M5, Canada
Toronto Sunnybrook Regional Cancer Centre
Toronto, Ontario, M4N3M5, Canada
Related Publications (1)
Dahele M, Hwang D, Peressotti C, Sun L, Kusano M, Okhai S, Darling G, Yaffe M, Caldwell C, Mah K, Hornby J, Ehrlich L, Raphael S, Tsao M, Behzadi A, Weigensberg C, Ung YC. Developing a methodology for three-dimensional correlation of PET-CT images and whole-mount histopathology in non-small-cell lung cancer. Curr Oncol. 2008 Oct;15(5):62-9. doi: 10.3747/co.v15i5.349.
PMID: 19008992RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yee C Ung, MD
Toronto Sunnybrook Regional Cancer Centre
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 22, 2005
Study Start
October 1, 2005
Primary Completion
June 1, 2008
Study Completion
January 1, 2009
Last Updated
February 5, 2009
Record last verified: 2009-02