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BOLD-fMRI and DTI scans are performed to patients with germ cell tumors in the basal ganglia before and after treatments. The changes of the MRI and muscle strength of patients during treatments are evaluated, and the association between these two are investigated.
Primary intracranial germ cell tumors are a specific entity of brain tumors with a variety of histological types and different degrees of malignancy. Intracranial GCTs make up 11.2% - 15.3% of primary intracranial tumors in Asian children compared with 3.6% in the US. And tumors located at the basal ganglia is much rarer.
The investigators realize that most of patients with tumors at this location are involved with motor disfunction. And after treatments, some patients get relieved dramatically, but some others failed to get similar outcomes. To better understand the mechanism causing this difference of treatment outcomes, the investigators perform BOLD-fMRI and DTI scans to patients with germ cell tumors in the basal ganglia before and after treatments. The changes of the fMRI and muscle strength of patients during treatments are evaluated, and the association between these two are investigated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| single-group studies | All the patients received chemotherapy and radiotherapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| radiotherapy | Radiation | whole brain with/without spinal cord |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes of brain networks measured by BOLD-fMRI after treatments. | The brain networks during treatments are compared by functional connectivity. | The fMRI scans are performed: (1) before treatments in one week, (2) before radiotherapy in one week, (3) after radiotherapy in one week, (4) one year after radiotherapy. |
| Changes of white matter fibers measured by DTI after treatments. | The white matter fibers damaged by tumor are evaluated by FA and MD value. | The DTI scans are performed along with the fMRI scans. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes of muscle strength after treatments. | The limb muscle strength of patients are evaluated with the Medical Research Council (MRC) scale for muscle strength (grade 0-5). | The muscle strength evaluation are performed at the same day before the fMRI scans. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with intracranial germ cell tumor located at the basal ganglia.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaoguang Qiu, M.D. | Contact | 010-67021832 | ttyy6611@sina.com | |
| Shuai Liu, M.D. | Contact | 010-67021832 | liushuai9@foxmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tiantan Hospital | Recruiting | Beijing | 100071 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24101738 | Background | Liang SY, Yang TF, Chen YW, Liang ML, Chen HH, Chang KP, Shan IK, Chen YS, Wong TT. Neuropsychological functions and quality of life in survived patients with intracranial germ cell tumors after treatment. Neuro Oncol. 2013 Nov;15(11):1543-51. doi: 10.1093/neuonc/not127. Epub 2013 Oct 6. |
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| ID | Term |
|---|---|
| D011878 | Radiotherapy |
| D004358 | Drug Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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