MELT - MRI Evaluation of Lymphoma Treatment
Study Details
Study Description
Brief Summary
Patients who are newly diagnosed with Hodgkin's lymphoma will undergo disease staging at diagnosis and initial treatment response assessment. At each time point (initial staging and treatment response assessment) in addition to standard imaging investigations (PET CT, Chest CT, anatomical MRI of the abdomen and pelvis and abdominal USS), patients will undergo an extended MRI scan.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The trial will be a single centre cohort study in patients newly diagnosed with Hodgkin's lymphoma undergoing disease staging at diagnosis and initial treatment response assessment. At each time point (initial staging and treatment response assessment) in addition to standard imaging investigations (PET CT, Chest CT, anatomical MRI of the abdomen and pelvis and abdominal USS), patients will undergo advanced anatomical and functional MRI sequences.
Study Design
Outcome Measures
Primary Outcome Measures
- The per site sensitivity and specificity of MRI for both nodal and extranodal sites and concordance in final disease stage with the multi-modality reference standard [The recruited patients to be followed up for 1 year]
Secondary Outcome Measures
- The number of correct patient classifications into therapy responders and non-responders by MRI compared to the multi modality reference [The recruited patients to be followed up for 1 year]
- Inter observer agreement for MRI between reporting radiologists (on site and off site). responders by MRI compared to the multi modality reference [The recruited patients to be followed up for 1 year]
- Sensitivity, specificity of qualitative assessment of Minimum intensity projection (MIP) inverted high B value datasets [The recruited patients to be followed up for 1 year]
- Utility of apparent diffusion coefficient (ADC) histogram analysis for identifying responsive nodal disease [The recruited patients to be followed up for 1 year]
- Simulated effect of MRI on clinical management via external oncologic review [The recruited patients to be followed up for 1 year]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Aged 5 to 20 years (inclusive) with participant and parent/guardian informed consent
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Histologically confirmed first presentation of Hodgkin's Lymphoma
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Either entered into the Euronet PHL-C1 trial or LP1 trials OR not formally entered into the Euronet trials but treated on the chemotherapy regimens of the Euronet trials for classical and lymphocyte predominant Hodgkin Lymphoma
Exclusion Criteria:
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Contraindications to MRI (e.g. pacemaker)
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Previous malignancy or previous chemotherapy or radiotherapy treatment for malignancy
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Pregnancy or nursing
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University College London Hospital (UCLH) | London | United Kingdom |
Sponsors and Collaborators
- University College, London
Investigators
- Principal Investigator: Stuart A Taylor, Prof, UCLH
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- UCL10/0271
- CRUK ASC 12707