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For cancers, such as mesothelioma, that spread to the lining of the stomach, detecting the cancer is very difficult with CT or MRI scans. Researchers at the University of Chicago want to find out if the new experimental MRI and ultrasound imaging techniques do a better job of detecting these cancers. Researchers will use new MRI and ultrasound techniques to see if it can find evidence of cancer that has spread to the lining of the abdomen, and right now these new techniques are only used for research.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exploratory Phase - Standard CT Imaging and HR-MRI | Other | The goal is to test several different novel Magnetic Resonance sequences to determine which gives the best visualization of peritoneal disease. |
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| Testing Phase- Conventional and HR-MRI and Ultrasound | Other | Patients will undergo conventional and HR-MRI imaging as well as abdominal ultrasound to define the performance of these methods. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HR-MRI | Diagnostic Test | The first 5 patients will undergo HR-MRI scans using different sequence parameters. Results in these patients will then be assessed along with standard CT Imaging to determine which sequences appear to best identify peritoneal disease. The optimal HR-MRI sequences will then be used for the next 19 patients in the Testing phase to formally define their performance compared to standard imaging. |
| Measure | Description | Time Frame |
|---|---|---|
| Higher Sensitivity for detection using New High Resolution Contrast Enhanced MRI Imaging Sequences compared to standard MRI | New HR-MRI sequences will demonstrate greater sensitivity than standard MRI for detecting peritoneal metastases. | 60 Days |
| Higher sensitivity for detection of peritoneal metastatic disease using Ultrasound Elastography compared to standard MRI | Ultrasound Elastography will demonstrate greater sensitivity than standard MRI for detecting peritoneal metastases. | 60 Days |
| Measure | Description | Time Frame |
|---|---|---|
| The performance of diffusion-weighted MRI in detecting peritoneal disease in patients with malignant peritoneal mesothelioma | Use diffusion-weighted MRI in detecting the per-region sensitivity in patients with MPM | 60 days |
| Test high-definition small-voxel MRI imaging sequences for detection of peritoneal disease in MPM |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hedy Kindler, MD | University of Chicago | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Of Chicago Medicine Comprehensive Cancer Center | Chicago | Illinois | 60637 | United States |
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| ID | Term |
|---|---|
| D008654 | Mesothelioma |
| ID | Term |
|---|---|
| D000236 | Adenoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Standard CT Imaging | Diagnostic Test | Standard CT scans will be performed for preoperative imaging in all patients. |
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| Ultrasound | Diagnostic Test | Ultrasound Elastography will be performed using an FDA-Approved diagnostic GE ultrasound scanner |
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To test HR-MRI sequences for detection of peritoneal disease in MPM focusing on the right hemidiaphragmatic and pelvic spaces |
| 60 days |
| Perform Ultrasound Elastography in peritoneal mesothelioma to determine optimal strain ratios | Ultrasound Elastography to determine optimal strain ratios to maximize sensitivity in PM patients | 60 days |
| Perform Ultrasound Elastography in peritoneal mesothelioma to determine elasticity scores | Ultrasound Elastography to determine elasticity scores to maximize sensitivity in PM patients | 60 days |
| D018301 |
| Neoplasms, Mesothelial |