Detection of Brain Metastases Using a Novel Gadolinium-Weighted MRI Sequence: A Prospective Comparison

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorRegion Stockholm

About this trial

This study will evaluate a new type of MRI sequence designed to improve the visibility of brain metastases after gadolinium contrast injection. The purpose is to determine whether this novel "gadolinium-weighted" imaging method can detect more or smaller tumors than standard MRI techniques. Participants will undergo a routine brain MRI with contrast, followed by an additional scan using the new method. The goal is to improve diagnostic accuracy without increasing the contrast dose or scan time.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18 years or older

Scheduled for clinical brain MRI with gadolinium contrast

Known or suspected brain metastases

Able to provide informed consent

Disqualifiers

Contraindications to MRI

Known allergy or contraindication to gadolinium-based contrast agents

Renal impairment (eGFR < 30 mL/min/1.73m²)

Pregnant or breastfeeding

Trial population

Patients referred for clinical brain MRI with contrast at a university hospital radiology department in Sweden. Participants will be adults with known or suspected brain metastases undergoing routine post-gadolinium imaging as part of their diagnostic work-up.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Novel Gadolinium-Weighted MRI Sequence

    Diagnostic test

    A post-contrast MRI sequence incorporating magnetization transfer (MT) preparation and flow-nulling with motion-sensitized driven equilibrium (MSDE). The sequence is optimized to suppress background tissue and vascular signal while enhancing the visibility of gadolinium-enhancing brain metastases. It is compared to conventional T1-weighted imaging in the same exam session.

Treatment groups

100 Participants
are divided into 1 treatment group
Group A: Patients with Suspected or Known Brain Metastases1 intervention

Trial outcomes

Primary outcomes

1

Difference in Number of Detected Gadolinium-Enhancing Brain Metastases Between the Novel Gadolinium-Weighted MRI Sequence and Conventional T1-Weighted Imaging

Time frame
At the time of gadolinium-enhanced MRI, during a single imaging session (within 1 hour of contrast administration)

Secondary outcomes

Other outcomes

Sponsors and contacts

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