NCT01522209

Brief Summary

The study compares the established imaging techniques (CT, MRT, Contrast Ultrasound) with the new method of intraoperative contrast enhanced ultrasound to compare all methods for their rate of detection of colorectal liver metastasis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
59

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Dec 2011

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2011

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

January 3, 2012

Completed
28 days until next milestone

First Posted

Study publicly available on registry

January 31, 2012

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2015

Completed
Last Updated

January 15, 2015

Status Verified

January 1, 2015

Enrollment Period

3 years

First QC Date

January 3, 2012

Last Update Submit

January 14, 2015

Conditions

Keywords

CRLMPrimovist MRICEIOUS

Outcome Measures

Primary Outcomes (1)

  • Detection of Liver Metastasis during Operation

    Intraoperative Rate of Detection of Liver Metastasis compared to preoperative Imaging Analysis

    During Operation

Secondary Outcomes (3)

  • Comparison of Detection Rate for Liver Metastases of all imaging modalities

    1 Week after Operation

  • Comparison of Sensitivity of all imaging modalities

    one Year

  • Comparison of Specicivity of all imaging modalities

    one year

Interventions

Liver SurgeryPROCEDURE

R0 Resection of Liver Metastases after Planning with preoperative imaging data and comparison with intraoperative contrast enhanced ultrasound

The contrast enhanced Ultrasound imaging is performed before and during the operation using Sonovue contrast agent (2.5ml iv preop, 4.5ml iv intraop)

A staging CT of the liver/abdomen with the minimal possible dosage for aquiring sufficent triphasic data in a 64-line helical scan

an MRI scan of the liver with Primovist contrast agent including late phase as addition to the preop staging according to the protocol

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Informed Consent Age \> 18 years All Patients presenting with Colorectal Liver Metastasis indicated for Liver Surgery in the study period

You may not qualify if:

  • No Informed Consent Possible Pregnancy Patients with hereditary diseases of the metabolic system Liver Cirrhosis CHILD B and C Renal Insufficiency defined as Kreatinin \>2,5 mg/dl PAtients enrolled in other studies

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Asklepios Hospital Barmbek

Hamburg, Hamburg, 22291, Germany

Location

Related Publications (24)

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    PMID: 17606190BACKGROUND
  • Nordlinger B, Van Cutsem E, Rougier P, Kohne CH, Ychou M, Sobrero A, Adam R, Arvidsson D, Carrato A, Georgoulias V, Giuliante F, Glimelius B, Golling M, Gruenberger T, Tabernero J, Wasan H, Poston G; European Colorectal Metastases Treatment Group. Does chemotherapy prior to liver resection increase the potential for cure in patients with metastatic colorectal cancer? A report from the European Colorectal Metastases Treatment Group. Eur J Cancer. 2007 Sep;43(14):2037-45. doi: 10.1016/j.ejca.2007.07.017. Epub 2007 Sep 4.

    PMID: 17766104BACKGROUND
  • Oldhafer KJ, Hogemann D, Stamm G, Raab R, Peitgen HO, Galanski M. [3-dimensional (3-D) visualization of the liver for planning extensive liver resections]. Chirurg. 1999 Mar;70(3):233-8. doi: 10.1007/s001040050636. German.

    PMID: 10230533BACKGROUND
  • Lang H, Radtke A, Hindennach M, Schroeder T, Fruhauf NR, Malago M, Bourquain H, Peitgen HO, Oldhafer KJ, Broelsch CE. Impact of virtual tumor resection and computer-assisted risk analysis on operation planning and intraoperative strategy in major hepatic resection. Arch Surg. 2005 Jul;140(7):629-38; discussion 638. doi: 10.1001/archsurg.140.7.629.

    PMID: 16027326BACKGROUND
  • Ong KO, Leen E. Radiological staging of colorectal liver metastases. Surg Oncol. 2007 Jul;16(1):7-14. doi: 10.1016/j.suronc.2007.04.001. Epub 2007 May 11.

    PMID: 17499498BACKGROUND
  • Cervone A, Sardi A, Conaway GL. Intraoperative ultrasound (IOUS) is essential in the management of metastatic colorectal liver lesions. Am Surg. 2000 Jul;66(7):611-5.

    PMID: 10917467BACKGROUND
  • Nakano H, Ishida Y, Hatakeyama T, Sakuraba K, Hayashi M, Sakurai O, Hataya K. Contrast-enhanced intraoperative ultrasonography equipped with late Kupffer-phase image obtained by sonazoid in patients with colorectal liver metastases. World J Gastroenterol. 2008 May 28;14(20):3207-11. doi: 10.3748/wjg.14.3207.

    PMID: 18506927BACKGROUND
  • Scheele J, Stangl R, Altendorf-Hofmann A. Hepatic metastases from colorectal carcinoma: impact of surgical resection on the natural history. Br J Surg. 1990 Nov;77(11):1241-6. doi: 10.1002/bjs.1800771115.

    PMID: 2253003BACKGROUND
  • Scheele J, Stang R, Altendorf-Hofmann A, Paul M. Resection of colorectal liver metastases. World J Surg. 1995 Jan-Feb;19(1):59-71. doi: 10.1007/BF00316981.

    PMID: 7740812BACKGROUND
  • Belghiti J, Hiramatsu K, Benoist S, Massault P, Sauvanet A, Farges O. Seven hundred forty-seven hepatectomies in the 1990s: an update to evaluate the actual risk of liver resection. J Am Coll Surg. 2000 Jul;191(1):38-46. doi: 10.1016/s1072-7515(00)00261-1.

    PMID: 10898182BACKGROUND
  • Benoist S, Nordlinger B. Neoadjuvant treatment before resection of liver metastases. Eur J Surg Oncol. 2007 Dec;33 Suppl 2:S35-41. doi: 10.1016/j.ejso.2007.09.022. Epub 2007 Nov 5.

    PMID: 17981428BACKGROUND
  • Pawlik TM, Schulick RD, Choti MA. Expanding criteria for resectability of colorectal liver metastases. Oncologist. 2008 Jan;13(1):51-64. doi: 10.1634/theoncologist.2007-0142.

    PMID: 18245012BACKGROUND
  • Folprecht G, Gruenberger T, Bechstein WO, Raab HR, Lordick F, Hartmann JT, Lang H, Frilling A, Stoehlmacher J, Weitz J, Konopke R, Stroszczynski C, Liersch T, Ockert D, Herrmann T, Goekkurt E, Parisi F, Kohne CH. Tumour response and secondary resectability of colorectal liver metastases following neoadjuvant chemotherapy with cetuximab: the CELIM randomised phase 2 trial. Lancet Oncol. 2010 Jan;11(1):38-47. doi: 10.1016/S1470-2045(09)70330-4. Epub 2009 Nov 26.

    PMID: 19942479BACKGROUND
  • Portier G, Elias D, Bouche O, Rougier P, Bosset JF, Saric J, Belghiti J, Piedbois P, Guimbaud R, Nordlinger B, Bugat R, Lazorthes F, Bedenne L. Multicenter randomized trial of adjuvant fluorouracil and folinic acid compared with surgery alone after resection of colorectal liver metastases: FFCD ACHBTH AURC 9002 trial. J Clin Oncol. 2006 Nov 1;24(31):4976-82. doi: 10.1200/JCO.2006.06.8353.

    PMID: 17075115BACKGROUND
  • Abdalla EK, Hicks ME, Vauthey JN. Portal vein embolization: rationale, technique and future prospects. Br J Surg. 2001 Feb;88(2):165-75. doi: 10.1046/j.1365-2168.2001.01658.x.

    PMID: 11167863BACKGROUND
  • Wicherts DA, Miller R, de Haas RJ, Bitsakou G, Vibert E, Veilhan LA, Azoulay D, Bismuth H, Castaing D, Adam R. Long-term results of two-stage hepatectomy for irresectable colorectal cancer liver metastases. Ann Surg. 2008 Dec;248(6):994-1005. doi: 10.1097/SLA.0b013e3181907fd9.

    PMID: 19092344BACKGROUND
  • Oldhafer KJ, Stavrou GA, Prause G, Peitgen HO, Lueth TC, Weber S. How to operate a liver tumor you cannot see. Langenbecks Arch Surg. 2009 May;394(3):489-94. doi: 10.1007/s00423-009-0469-9. Epub 2009 Mar 12.

    PMID: 19280221BACKGROUND
  • Preim B, Bourquain H, Selle D, Oldhafer KJ. Resection Proposals for Oncologic Liver Surgery based on Vascular Territories. 2002 Mar. 8;

    BACKGROUND
  • Robinson P. The early detection of liver metastases. Cancer Imaging. 2002;

    BACKGROUND
  • Gaa J, Wieder H, Schwaiger M, Rummeny EJ. [Modern imaging for liver metastases from colorectal tumors]. Chirurg. 2005 Jun;76(6):525-6, 528-34. doi: 10.1007/s00104-005-1031-0. German.

    PMID: 15875145BACKGROUND
  • Bhattacharjya S, Bhattacharjya T, Baber S, Tibballs JM, Watkinson AF, Davidson BR. Prospective study of contrast-enhanced computed tomography, computed tomography during arterioportography, and magnetic resonance imaging for staging colorectal liver metastases for liver resection. Br J Surg. 2004 Oct;91(10):1361-9. doi: 10.1002/bjs.4699.

    PMID: 15376205BACKGROUND
  • Konopke R, Kersting S, Bergert H, Bloomenthal A, Gastmeier J, Saeger HD, Bunk A. Contrast-enhanced ultrasonography to detect liver metastases : a prospective trial to compare transcutaneous unenhanced and contrast-enhanced ultrasonography in patients undergoing laparotomy. Int J Colorectal Dis. 2007 Feb;22(2):201-7. doi: 10.1007/s00384-006-0134-5. Epub 2006 May 30.

    PMID: 16733650BACKGROUND
  • Shah AJ, Callaway M, Thomas MG, Finch-Jones MD. Contrast-enhanced intraoperative ultrasound improves detection of liver metastases during surgery for primary colorectal cancer. HPB (Oxford). 2010 Apr;12(3):181-7. doi: 10.1111/j.1477-2574.2009.00141.x.

    PMID: 20590885BACKGROUND
  • Stavrou GA, Stang A, Raptis DA, Schadde E, Zeile M, Bruning R, Wagner KC, Huber TM, Oldhafer KJ. Intraoperative (Contrast-Enhanced) Ultrasound Has the Highest Diagnostic Accuracy of Any Imaging Modality in Resection of Colorectal Liver Metastases. J Gastrointest Surg. 2021 Dec;25(12):3160-3169. doi: 10.1007/s11605-021-04925-2. Epub 2021 Jun 22.

Study Officials

  • Gregor A Stavrou, Dr.med

    Dpt. of General and Visceral Surgery, Asklepios Hospital Barmbek, Hamburg, Germany

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 3, 2012

First Posted

January 31, 2012

Study Start

December 1, 2011

Primary Completion

December 1, 2014

Study Completion

January 1, 2015

Last Updated

January 15, 2015

Record last verified: 2015-01

Locations