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In this pilot study, the study evaluators will evaluate the ability of positron emission tomography (PET) with 18F-fluorodeoxyglucose (FDG PET) and the computed tomography (CT) perfusion scanner, individually and combined, to predict the effectiveness of anti-angiogenic treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with recurrent glioblastoma | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FDG PET | Other | IV application of F Dopa, 2 MBq per Kg, with a scout view (angle of view 90 °, 120 kV, 30 mAs), then an X-ray scan is performed for the attenuation correction ( 120 kV - 5mAs - pitch 0.531 - thickness // increment: 3.75mm//3.27mm -QAC filter - DFOV 25). PET acquisition: static in 3D mode for 20 minutes, 8 minutes after the injection of 18 F Dopa, the axial field of view is 25, the matrix in 256 x 256. After OSEM reconstruction 6 iterations and 24 subsets, with correction of attenuation and diffusion, then Gaussian filter of frequency 4, 47 contiguous axial sections of 3.26 mm are obtained. |
| Measure | Description | Time Frame |
|---|---|---|
| Categorization of patients as responders or non-responders to treatment | Measured by MRI according to Response Assessment in Neuro-Oncology (RANO) criteria: Complete response/Partial response/stable/progression | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Metabolic Tumor Volume | FDG PET | Day 0 |
| Metabolic Tumor Volume | FDG PET | Day 14 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Laurent Collombier | CHU Nimes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nimes | Nîmes | 30029 | France |
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| CT scan | Other | Localization propeller without injection: 120kV - mA regulation (Noise Index 15) - pitch 0.969 - thickness // increment: 5mm // 5mm - Soft filter - Asir 60% - DFOV 25. Acquisition begins 5 seconds after the start of the injection of 60 ml of contrast product (VISIPAQUE) at 4 cc / second without (acquisition characteristics: 80 kV - 100 mAs -- thickness: 5mm // 8 images / rotation - STD filter - Asir 50% display field of view (DFOV) 25 - phase1: 5s then phase2 15s). Diagnostic quality CT: 120kV - Regulation of mA (Noise Index 15) - pitch 0.531 - thickness // increment: 1.25 // 0.625mm - Soft filter - Asir 60% - DFOV 25. |
|
| Magnetic resonance imaging (MRI) | Other | If the examination is performed on the SIEMENS SKYRA 3T device: 32 channel head coil antenna, if on the PHILIPPS INGENIA 1.5 T device: DStream HeadSpine Coil antenna. The sequence begins with an axial, coronal and sagittal "Survey" topogram, lasting 1 minute. Then axial sequence T1, Axial T2 *, Axial cerebral perfusion (Injection of gadolinium (0.1 mmol / kg, 5 cc / second), coronal T2, Axial T2 Flair, Axial DWI b100, Axial 3D T1 gadolinium |
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| Fixation Index | Maximum standard uptake value (SUV) and average SUV of the lesion divided by maximum SUV and average SUV of the striata | Day 0 |
| Fixation Index | Maximum standard uptake value (SUV) and average SUV of the lesion divided by maximum SUV and average SUV of the striata | Day 14 |
| permeability-surface area product | CT scan | Day 0 |
| permeability-surface area product | CT scan | Day 14 |
| cerebral blood flow | CT scan | Day 0 |
| cerebral blood flow | CT scan | Day 14 |
| Normalized permeability-surface area product to healthy brain | CT scan | Day 0 |
| Normalized permeability-surface area product to healthy brain | CT scan | Day 14 |
| Normalized cerebral blood flow to healthy brain | CT scan | Day 0 |
| Normalized cerebral blood flow to healthy brain | CT scan | Day 14 |
| Inter-rater reproducibility of FDG PET | LIN intraclass correlation coefficient | End of study (September 2022) |
| Inter-rater reproducibility of CT scan | LIN intraclass correlation coefficient | End of study (September 2022) |
| ID | Term |
|---|---|
| D005909 | Glioblastoma |
| ID | Term |
|---|---|
| D001254 | Astrocytoma |
| D005910 | Glioma |
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |
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| ID | Term |
|---|---|
| D009682 | Magnetic Resonance Spectroscopy |
| ID | Term |
|---|---|
| D013057 | Spectrum Analysis |
| D002623 | Chemistry Techniques, Analytical |
| D008919 | Investigative Techniques |
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