Proton MR Spectroscopy and 18F-Fluorocholine PET for Breast Cancer Diagnosis
Use of Proton MR Spectroscopy and 18F-Fluorocholine PET for Breast Cancer Diagnosis, Prediction of Clinical Outcome and Monitoring of Treatment Response to Neoadjuvant Chemotherapy
1 other identifier
interventional
80
1 country
1
Brief Summary
The application of FCH PET in breast cancer diagnosis has not been reported. We hypothesize that FCH reveals choline metabolic profiles of breast cancers, and shows the similar pathophysiological mechanism to choline on proton MRS, and our study goals are:
- 1.To investigate and compare the diagnostic performance of proton MRS and FCH PET for localized findings on mammography and breast ultrasound.
- 2.To investigate whether FCH PET findings are correlated with choline signals on proton MRS.
- 3.To evaluate if choline, water and lipid signals on proton MRS, FCH PET are associated with factors related to clinical outcome and prognosis- that is, molecular markers, tumor staging, histologic grade of breast cancers.
- 4.For localized advanced breast cancer, to investigate the treatment response to NAC using proton MRS and FCH PET, and to evaluate which modality is more sensitive.
- 5.To investigate the usefulness of FCH PET for whole body staging for breast cancer patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Sep 2012
Longer than P75 for phase_4
1 active site
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
Study Start
First participant enrolled
September 1, 2012
CompletedFirst Submitted
Initial submission to the registry
September 25, 2013
CompletedFirst Posted
Study publicly available on registry
October 8, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2017
CompletedFebruary 4, 2016
February 1, 2016
4.3 years
September 25, 2013
February 3, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
diagnostic accuracy of 18F-FCH PET for breast cancer diagnosis
The investigators use the interpretation results of 18F-FCH PET for breast lesion diagnosis, with the pathology result of the breast lesions as gold standards, and to investigate how well the 18F-FCH PET can correctly diagnose the true nature of breast lesions.
5 years
Secondary Outcomes (2)
Monitoring of treatment response of breast cancer to chemotherapy using 18F-FCH PET
5 years
diagnostic accuracy of breast MR spectroscopy for breast cancer diagnosis
5 years
Other Outcomes (1)
Evaluation the correlation of 18F-FCH PET and breast MRI
5 years
Study Arms (1)
diagnostic accuracy of PET and MR spectroscopy
EXPERIMENTALTo investigate the diagnostic accuracy of 18F-Fluorocholine PET and proton MR spectroscopy of breast lesions, using pathology as gold standard.
Interventions
Eligibility Criteria
You may qualify if:
- Women aged 20-75 years old.
- with localized findings on mammography or breast ultrasound in recent 3 months and who will receive breast biopsy or excision for the findings; or with recently diagnosed LABC who will receive NAC.
You may not qualify if:
- unable to cooperate with the examinations
- pregnant or planning to be pregnant
- estimated GFR (eGFR) \< 60 ml/min/1.73m2 or with recent acute renal failure, past history of renal dialysis.
- Past history of claustrophobia
- Past history of anaphylactoid reactions to MRI contrast agents or PET tracer agents.
- with cardiac pacemaker, aneurysmal clip, mechanical valve replacement, recently applied coronary artery stent (\<2 months).
- Past history of breast cancer or other malignancy (treated within 5 years).
- lactating.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Taiwan University Hospital
Taipei, Taiwan, 100, Taiwan
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jane Wang, PhD
National Taiwan University Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 25, 2013
First Posted
October 8, 2013
Study Start
September 1, 2012
Primary Completion
December 1, 2016
Study Completion
March 1, 2017
Last Updated
February 4, 2016
Record last verified: 2016-02