Contribution of PET/MRI in Locally Advanced Cervical Cancer (ATICC)

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorCentre Paul Strauss

About this trial

\[18 F\]fluorodeoxyglucose (18F-FDG) positron emission tomography-magnetic resonance imaging (PET/MRI) is a new hybrid imaging tool that has recently arrived in oncology, and is particularly promising. Its usefulness seems obvious in certain tumor types, but its place in the staging of cervical cancers has never been explored in a prospective trial to our knowledge.

Previously, a comparative retrospective study from 2009 found a better sensitivity of PET fused to diagnostic MRI images compared to PET/CT (positron emission tomography/computed tomography) in the detection of metastatic lymph nodes (54 and 44% respectively). It was an a posteriori fusion of images, from images acquired by PET-CT.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged from 18 years old and over

Patients with presumed cervical cancer of stages IB2 to IVA based on clinical data and pelvic MRI, undergoing pre-treatment assessment.

For women of childbearing potential : Adequate contraception throughout study participation.

Disqualifiers

Oncological history that could possibly interfere with imaging results interpretation, apart from cervical cancer

Extra-nodal metastasis clinically or radiologically proven before study participation

Contraindication to MRI or injection of contrast agents containing gadolinium

Contraindication to lumbo-aortic lymphadenectomy

Trial population

Patients with presumed cervical cancer of stages IB2 to IVA based on clinical data and pelvic MRI, undergoing pre-treatment assessment.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • 18-FDG PET-MRI

    Diagnostic test

    For this trial, 18-FDG PET-MRI will be conducted directly after PET-CT using a single dose of radiotracer

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Compare performances of PET/MRI and PET/CT in the detection of lumbar aortic lymph node metastases in cervical cancer patients with tumors graded IB2 to IVA stage

Performances in terms of sensitivity

Time frame
Up to 3 months

Secondary outcomes

1

Compare performances of PET/MRI and PET/CT in the detection of lymph node metastases in cervical cancer patients with tumors graded IB2 to IVA stage, outside of lumbar aortic region

Performances in terms of sensitivity

Time frame
Up to 3 months
2

Compare performances PET/MRI and para-aortic lymphadenectomy in the detection of lumbar aortic lymph node metastases in cervical cancer patients

Lumbar/aortic lymph nodes detection with each exams

Time frame
Up to 3 months

Other outcomes

Sponsors and contacts

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