Assessment of Complete Response MRI Criterion After Neoadjuvant Therapy in Locally Advanced Rectal Cancer
Study Details
Study Description
Brief Summary
Standard care for locally advanced rectal cancer consists in a neoadjuvant therapy followed by surgery. Morbidity and mortality remain high after rectal surgery, and often linked with quality of life impairment. 10 to 30% present a pathological complete response after neoadjuvant therapy. Some surgical teams propose "watch and wait" approach for patients selected with clinical complete responses criterion. The problem is to be sur the response is complete. MRI seems to be accurate to select complete responders. We will try to find MRI criterion of complete responses.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Pathological complete response Patients with a complete response to the neoadjuvant therapy on the definitive anatomopathology study. |
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Non pathological complete response Patients without complete response to the neoadjuvant therapy on the definitive anatomopathology study. |
Outcome Measures
Primary Outcome Measures
- Complete response MRI criterion [Day 0: immediately after the procedure]
We selected several objective MRI criterion among literature and compared them between the two groups.
Secondary Outcome Measures
- MRI accuracy [Day 0: immediately after the procedure]
Calculated Sensitivity, Specificity, Positive Predictive Value and Negative Predictive Value.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Rectal adenocarcinoma
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Locally advanced
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Neoadjuvant therapy
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MRI restaging
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Rectal surgery
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Definitive anatomopathology study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Chu de Nîmes | Nîmes | Gard | France | 30000 |
Sponsors and Collaborators
- Centre Hospitalier Universitaire de Nīmes
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 22.03.05