4D CBCT and Intrafractional Imaging for the Determination of the Most Representative 4D Simulation Planning Technique for Lung SBRT Technique Patients
4D(Dimensional) CBCT (Cone-beam Computed Tomography) and Intrafractional Imaging for the Determination of the Most Representative 4D Simulation Planning Technique for Lung SBRT (Stereotactic Body Radiation Therapy) Technique Patients
1 other identifier
interventional
12
1 country
1
Brief Summary
The researchers plan to investigate two ways of visualizing and planning to account for the respiratory motion which takes place while treating lung tumors with radiation therapy. The researchers will determine if a traditional snapshot (free-breathing) CT or a longer-lasting CT encompassing the breathing cycle better matches a patient's breathing during treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Aug 2021
Typical duration for not_applicable
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
First Submitted
Initial submission to the registry
January 11, 2021
CompletedFirst Posted
Study publicly available on registry
January 22, 2021
CompletedStudy Start
First participant enrolled
August 17, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 14, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 14, 2023
CompletedJune 27, 2024
June 1, 2024
2.2 years
January 11, 2021
June 25, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
To investigate radiation therapy treatment tumor localization accuracy by determining whether the FB or AIP images is more representative of the target at treatment.
This will be quantitively determined by quantifying the agreement between the two CT scans using the Dice coefficient (DSC) as a metric for localization accuracy.
2 weeks
Study Arms (2)
AIP (Average Intensity Projection) CT (Computed Tomagraphy)
ACTIVE COMPARATORAn image taken over a longer time of the lungs (average intensity projection of 4DCT) will be compared with breathing during treatment.
FB (Free-Breathing) CT
PLACEBO COMPARATORA snapshot of breathing (free-breathing traditional CT) will be used to compare with breathing during treatment.
Interventions
An image taken over a longer time of the lungs (average intensity projection of 4DCT) will be compared with breathing during treatment.
A snapshot of breathing (free-breathing traditional CT) will be used to compare with breathing during treatment.
Eligibility Criteria
You may qualify if:
- Age ≥ 18 years.
- Ability to provide informed written consent in either English or Spanish.
- Patients with cancer or presumed cancer involving the lung (primary or secondary) planned to undergo lung SBRT technique or IMRT technique with an SBRT setup in 10 or fewer fractions.
You may not qualify if:
- Current pregnancy, as this is a contraindication to receiving radiation therapy.
- Patients to be treated to multiple targets concurrently.
- Any condition or history as evidenced by patient record and/or self-report that, in the opinion of the investigator, would interfere with adherence to the prescribed pattern of radiation therapy.
- Poor lung function, as judged by the prescribing radiation oncologist, sufficiently limiting to make the patient not a candidate for 4D imaging (for example major differences between the 4D and free-breathing CT scan).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mays Cancer Center, UT Health San Antonio
San Antonio, Texas, 78229, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Daniel Saenz, PhD
UT Health San Antonio
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 11, 2021
First Posted
January 22, 2021
Study Start
August 17, 2021
Primary Completion
November 14, 2023
Study Completion
November 14, 2023
Last Updated
June 27, 2024
Record last verified: 2024-06
Data Sharing
- IPD Sharing
- Will not share