135 Participants Needed

Advanced MRI for Brain Tumors

RY
KB
ST
Overseen BySunitha Thakur, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Memorial Sloan Kettering Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests advanced MRI techniques to help doctors better understand where a brain tumor might recur. Researchers hope these new imaging methods can identify high-risk areas in malignant gliomas (a type of brain tumor) and ensure the treatment remains safe with minimal side effects. Individuals diagnosed with or suspected of having a brain tumor, and who might undergo radiation therapy, may be suitable candidates for this trial. As an unphased trial, participants can contribute to pioneering research that may enhance future brain tumor treatments.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this advanced MRI is safe for people with brain tumors?

Research has shown that advanced MRI scans are generally safe for people with brain tumors. Many studies have used these scans to help doctors better understand and classify brain tumors. Unlike some other imaging methods, they do not use radiation, making them safer.

Studies also indicate that advanced MRI can be performed without gadolinium-based contrast agents, which can sometimes cause side effects. Avoiding these agents enhances the procedure's safety.

Overall, advanced MRI is well-tolerated, and research has not reported any major side effects from these scans. This makes advanced MRI a safe option for people with brain tumors.12345

Why are researchers excited about this trial?

Researchers are excited about the advanced MRI sequences for brain tumors because these sequences offer more detailed images than standard MRI scans. Unlike conventional imaging techniques, advanced MRI can provide early insights into tumor characteristics, potentially improving surgical and radiation planning. This method allows doctors to see beyond the basic structure of the tumor, giving a clearer picture of how aggressive the tumor might be and helping tailor treatment plans more precisely to each patient.

What evidence suggests that advanced MRI is effective for brain tumors?

Research has shown that advanced MRI scans, which participants in this trial will undergo, can aid in diagnosing and understanding brain tumors, such as malignant gliomas. Studies have found that these imaging techniques, combined with machine learning, can predict patient outcomes and identify critical tumor areas. One study discovered that advanced MRI accurately detects changes in tumors, with a sensitivity rate of about 87%. This accuracy makes it particularly effective at identifying dangerous tumor parts that might recur. Advanced MRI also assists in planning treatment and monitoring disease progression. Overall, these imaging techniques hold promise for enhancing how doctors manage brain tumors.16789

Who Is on the Research Team?

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Robert Young, MD

Principal Investigator

Memorial Sloan Kettering Cancer Center

Are You a Good Fit for This Trial?

This trial is for adults over 18 with suspected or confirmed high or low grade gliomas, which are types of brain tumors. They should be candidates for radiation therapy and able to consent to the study. It's not suitable for those allergic to MRI contrast agents, have contraindications to MRI like pacemakers, are pregnant/nursing, can't undergo an MRI due to extreme claustrophobia, or cannot cooperate during the procedure.

Inclusion Criteria

My brain tumor is suspected to be serious or has a specific genetic change.
Patient and/or guardian is able to provide written informed consent prior to study registration
I can have radiation therapy.

Exclusion Criteria

I am not allergic or have any issues with MRI contrast dye.
I cannot undergo MRI or radiation therapy planning.
Extreme claustrophobia that precludes MRI scan
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Preoperative Planning MRI

Advanced MRI studies are obtained at the time of the routinely scheduled preoperative planning MRI

1 week
1 visit (in-person)

Pre-RT Planning MRI

Advanced MRI studies are obtained at the time of the routinely scheduled pre-RT planning MRI approximately 3±2 weeks after surgery

3 weeks
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • MRI and advanced MRI sequences
Trial Overview The study is testing whether advanced MR imaging techniques can more accurately identify high-risk areas in malignant gliomas that might recur after treatment. The goal is also to see if these imaging methods can help design better radiation treatment plans and monitor changes in brain tumors.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: MRIExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials
1,998
Recruited
602,000+

Published Research Related to This Trial

Advanced preoperative MRI techniques are crucial for diagnosing and planning surgery for intracranial gliomas, allowing for detailed imaging that helps assess tumor characteristics and the involvement of critical brain areas.
The use of multi-sequence MRI protocols, combined with functional mapping, enhances the ability to noninvasively grade tumors and identify functionally important brain regions, ultimately reducing the risk of functional decline during surgery.
Modern preoperative imaging and functional mapping in patients with intracranial glioma.Sollmann, N., Zhang, H., Kloth, C., et al.[2023]
Advanced MRI techniques, such as diffusion weighted imaging and MR spectroscopy, provide critical information about brain tumors that standard MRI sequences cannot, including cellularity, tumor metabolism, and vascularity.
These advanced imaging methods can enhance tumor margin identification, improve grading accuracy, reduce surgical risks, and better assess treatment responses, making them essential tools for neurosurgeons in managing brain tumors.
The role of advanced MR imaging in understanding brain tumour pathology.Price, SJ.[2007]
Sodium (23Na) MRI at 7 Tesla can effectively differentiate between tumor areas in glioma patients, showing significantly higher sodium concentrations in necrotic regions compared to normal-appearing white matter, which may help in assessing tumor extent.
The study found that IDH-mutated gliomas had higher 23Na concentrations than IDH wild-type gliomas, suggesting that 23Na MRI could be a useful biomarker for tumor characterization and guiding treatment decisions.
Ultra-high-field sodium MRI as biomarker for tumor extent, grade and IDH mutation status in glioma patients.Regnery, S., Behl, NGR., Platt, T., et al.[2021]

Citations

The Role of Advanced MRI Sequences in the Diagnosis and ...The optimal MRI protocol includes both morphological and advanced sequences to diagnose brainstem gliomas, suggests the subtype of the tumor, ...
Predicting primary outcomes of brain tumor patients with ...This study showed that advanced neuroimaging data with machine learning methods can potentially predict patient outcomes and reveal influential ...
Advanced magnetic resonance imaging for glioblastomaThis study explores advanced MRI techniques better to understand GBM properties and their link to patient outcomes.
A Systematic Review and Meta-Analysis of Brain Tumors ...The study found that the best algorithms had a pooled lesion-wise Dice score of 84%, with pooled sensitivities of 87% (patient-wise) and 86% ( ...
A review of deep learning for brain tumor analysis in MRIIt facilitates objective and reproducible measurements crucial for diagnosis, treatment planning, and disease monitoring. Furthermore, it holds ...
Advanced imaging techniques for neuro-oncologic tumor ...This review will explore the latest in advanced imaging techniques, with a focus on the complementary nature of multiparametric, multimodality imaging.
Brain Tumor Imaging without Gadolinium-based Contrast ...Dose reduction and clinically driven imaging are measures to reduce gadolinium-based contrast agent exposure in primary brain tumor imaging.
Advanced intraoperative MRI in pediatric brain tumor surgeryThis review aims to determine the added value of advanced imaging in ioMRI for pediatric brain tumor surgery compared to conventional imaging.
Combining multi-site magnetic resonance imaging with ...This study has developed a novel model of survival for pediatric brain tumors. Tumor perfusion plays a key role in determining survival.
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