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Tumor cell proliferation and repopulation contribute to resistance to radiotherapy in head and neck cancer. Up to now, this characteristic is mostly assessed using biopsies acquired during inspection under general anaesthesia before treatment.
18F-FLT-PET (positron emission tomography) is a non-invasive imaging method showing areas of active proliferation. The aim of this study is to assess the value of the functional information gained by 18F-FLT-PET for radiotherapy planning and early tumor response assessment.
Prior to radiotherapy, a planning CT-scan and a 18F-FLT-PET scan are acquired. After approximately two weeks of radiotherapy a further PET scan is obtained.
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| Measure | Description | Time Frame |
|---|---|---|
| Correlation of 18F-FLT-PET-signal changes before and during therapy with treatment outcome (clinical response and local tumor control) | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of the value of the functional information gained by 18F-FLT-PET regarding the definition of the planning target volume (PTV) for radiotherapy. | 2 months | |
| Measurement of 18F-FLT-PET-signal changes during radiotherapy or radiochemotherapy. | 2 months |
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Inclusion Criteria:
Exclusion Criteria:
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Stage II-IV squamous cell carcinoma of the head and neck
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| Name | Affiliation | Role |
|---|---|---|
| Johannes HA Kaanders, PhD | Radboud University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Radboud University Nijmegen, Department of Radiotherapy | Nijmegen | Gelderland | 6500 HB | Netherlands |
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| ID | Term |
|---|---|
| D006258 | Head and Neck Neoplasms |
| D006965 | Hyperplasia |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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