High-resolution PET-CT Specimen Imaging for the Perioperative Visualization of Resection Margins: an Exploratory Pilot Study

Status: Recruiting
Location: See location...
Intervention Type: Other, Diagnostic test
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

These are patients in whom a benign or malignant tumor was recorded requiring surgery. During that surgery, the surgeon will cut away the tumor as part of the treatment of the disease. In this process, it is important that the tumor is removed correctly and completely. To verify that the correct tissue was completely removed, the tissue is examined microscopically. However, a microscopic analysis takes a relatively long time and the result is not known until a few days after the surgery is completed. If that microscopic analysis should eventually reveal that the tumor was not completely removed, additional treatment is usually necessary. An assessment of the excised tissue during surgery would allow additional tissue to be excised in the same operation if necessary. Thus, in this way, additional treatments can also be avoided. This could lead to shorter treatment time and less emotional strain for the patient, as well as lower costs. To date, however, there are no effective techniques to do this. PositronEmissionTomography (PET) imaging can be used to image the tumor that needs to be excised. To do this, a tracer must be administered through the blood before the operation. This tracer is a slightly radioactive substance that can be detected by the PET camera even at low concentrations. This technique is already routinely used in the hospital to detect cancer or inflammatory tissue in the body. During this study, however, it's not the intention to look at the tumor while it is still in the patient's body, but rather after it has been cut out of the patient's body by the surgeon. To do this, the piece of tissue cut away will be scanned using a specially designed PET-CT scanner. The overall goal of this study is to gain additional knowledge. More specifically, the investigators wish to determine which medical conditions may benefit from high-resolution PET-CT specimen imaging.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• able to understand treatment protocol and informed consent form

• estimated by the investigator to be compliant for study participation

• confirmed breast cancer with an indication to undergo breast conserving surgery

• confirmed prostate cancer with an indication to undergo resective surgeryprostatectomy;

• confirmed thyroid lesion with an indication to undergo resective surgery;

• confirmed parathyroid adenoma with an indication to undergo resective surgery;

• suspected basal cell carcinoma, squamous cell carcinoma or melanoma with an indication to undergo resective surgery;

• suspected lesion in genitourinary sites (including bladder cancer, renal pelvis and ureter carcinoma, adrenal cortical carcinoma and renal cell carcinoma) with an indication to undergo resective surgery;

• suspected lesion in the head \& neck region with an indication to undergo resective surgery;

• confirmed primary or secondary hepatobiliary cancer with an indication to undergo resective surgery;

• patients undergoing biopsy after metabolic active lesions were detected on a PET scan.

• suspected neuro-endocrine malignancies with an indication to undergo resective surgery.

• suspected brain tumor with an indication to undergo resective surgery.

• Suspected malignant and benign gastrointestinal lesions with an indication to undergo resective surgery.

• suspected malignant thoracovascular lesions with an indication to undergo resective surgery

Locations
Other Locations
Belgium
AZ Maria Middelares
RECRUITING
Ghent
Contact Information
Primary
Tessa Van Oostveldt
klinische.studies@mijnziekenhuis.be
+3292468000
Backup
Steffi Ryckaert
steffi.ryckaert@mijnziekenhuis.be
003292461851
Time Frame
Start Date: 2023-08-06
Estimated Completion Date: 2027-06-30
Participants
Target number of participants: 150
Treatments
Experimental: Single arm
This is a single-arm interventional pilot study. Patients eligable for this study who signed the Informed consent will be included and will follow the interventions as described.
Sponsors
Leads: Algemeen Ziekenhuis Maria Middelares

This content was sourced from clinicaltrials.gov

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