MRI Evaluation of Spinal Cord Edema After CT-Guided Percutaneous Cordotomy in Cancer Pain Patients
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorMersin University
About this trial
This observational study aims to evaluate changes in the spinal cord following CT-guided percutaneous cervical cordotomy performed for the treatment of intractable cancer-related pain. Cordotomy is a routine clinical procedure used to relieve severe pain in selected cancer patients. After the procedure, some patients may develop temporary neurological symptoms that are thought to be related to spinal cord edema.
In this study, magnetic resonance imaging (MRI) will be performed as part of routine clinical follow-up on postoperative day 1 and at 1 month to assess the presence and extent of spinal cord edema. Clinical outcomes, including pain intensity and possible postprocedural symptoms, will be recorded and compared with MRI findings.
The goal of this research is to better understand the relationship between imaging changes in the spinal cord and clinical outcomes after cordotomy, which may help improve patient care and postoperative management in the future.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial population
Adult patients with intractable cancer-related pain undergoing routine CT-guided percutaneous cervical cordotomy at a tertiary university hospital pain clinic. Participants will be followed prospectively with postoperative MRI and clinical assessments.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
CT-guided Percutaneous Cervical Cordotomy
Procedure/SurgeryRoutine clinical percutaneous cervical cordotomy performed under CT guidance using radiofrequency ablation at the C1-C2 level for the treatment of intractable cancer pain.
Treatment groups
15 Participants
are divided into 1 treatment groupGroup A: Percutaneous Cervical Cordotomy Cohort1 intervention
Trial outcomes
Primary outcomes
1
Presence and extent of spinal cord edema on cervical MRI after CT-guided percutaneous cordotomy
Spinal cord edema will be evaluated on cervical MRI by a single radiologist, including presence, location, and longitudinal extent of edema.
Time frame
Postoperative day 1 and 1 monthSecondary outcomes
1
Change in pain intensity measured by Numeric Rating Scale (NRS)
Pain severity will be assessed using a 0-10 numeric rating scale.
Time frame
Baseline, postoperative day 1, and 1 monthSponsors and contacts
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Source ClinicalTrials.gov
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