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| Name | Class |
|---|---|
| Philips Healthcare | INDUSTRY |
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MultiSpectral 3 Tesla MRI (MS3TMRI) can increase the yield of Trans Rectal Ultrasound Biopsy (TRUSBx) to improve identification of patients on active surveillance requiring treatment.
This is a prospective single arm study. 120 patients at risk for significant occult prostate cancer on an active surveillance program will undergo MS3TMRI followed by a standard TRUSBx and additional biopsies guided by the MS3TMRI results. The positive predictive value (PPV) of MS3TMRI-TRUSBx for cancer requiring consideration of therapy will be compared to the PPV of TRUSBx alone. MS3TMRI consists of T2, diffusion-weighted imaging (DWI), dynamic contrast enhanced MRI (DCEMRI), proton MR spectroscopy (MRS) interpreted by a radiologist and by CAD methods validated on whole mount prostate specimens.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diagnostic: Single Arm | Other | Imaging (MS3TMRI) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MS3TMRI | Other | Multispectral 3 Tesla MRI imaging with contrast followed by biopsy |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Positive Predictive Value (PPV) of MS3TMRI-TRUSBx for detection of a patient with a cancer burden requiring consideration of immediate therapy. | Compare the targeted biopsy to the random biopsies | The outcome measure will be evaluated at the time of the results of the TRUSbx which will be approximately 2 weeks after the biopsy |
| Measure | Description | Time Frame |
|---|---|---|
| The number of cores required for diagnosis of prostate cancer for MS3TMRI-TRUSBx versus TRUSBx alone | The outcome measure will be evaluated at the time of the results of the TRUSbx which will be approximately 2 weeks after the biopsy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Masoom Haider, MD | Sunnybrook Health Sciences Centre, University of Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sunnybrook Health Sciences Centre | Toronto | Ontario | M4N 3M5 | Canada |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |