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NCT05623787Active, not recruiting

Diagnostic Value of Diffusion-weighted Magnetic Resonance in High-risk Colorectal and Appendiceal Neoplasms

Diagnostic Value of Diffusion-weighted Magnetic Resonance Imaging for Detection of Peritoneal Recurrence in Patients With High-risk Colorectal and Appendiceal Neoplasms : a Pilot Study

Source: ClinicalTrials.gov · Last updated 20 Mar 2025

Brief summary (registry, in English)

Diffusion-weighted magnetic resonance imaging (DWI/MRI) has been described in recent literature as a highly sensitive and specific modality for the detection of peritoneal metastases PM. It has been demonstrated to be superior to CT for patients with known peritoneal disease from colorectal and gynaecological malignancies as a staging tool for cytoreductive surgery. It was also demonstrated to be superior for the detection of PM for gastric cancer patients otherwise considered with a resectable tumor. However, the literature is scarce on the role of DWI/MRI in the detection of peritoneal recurrence for patients with high-risk features, either colorectal cancer (CRC) or appendiceal neoplasms (AN). The aim of this study is to prospectively assess the added value of whole-body DWI/MRI (WB-DWI/MRI) to CT and diagnostic laparoscopy for detection of PM in the follow-up of patients presenting with CRC or AN and high-risk features for peritoneal recurrence and evaluate how it correlates with intraoperative findings.

Status (registry)
Active, not recruiting
Study type
Interventional
Enrollment
30 (estimated)
First submitted
10 Nov 2022
Start date
1 Sept 2022
Primary completion date
30 Sept 2024
Lead sponsor
Laval University
NCT number
NCT05623787

What you commit to

  • Study type: Interventional
  • Planned participants: 30
  • From 1 Sept 2022 to the primary completion date, 30 Sept 2024
  • 2 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patient unfit for cytoreductive surgery, if required (ECOG 2 or more).

Other

  • Unresected synchronous peritoneal metastases at referral.
  • Low grade Appendiceal Mucinous Neoplasm (LAMN).
  • No high-risk feature for peritoneal recurrence.
  • Evidence of distant metastases on preoperative imaging.
  • Patient who is unable to have MRI.

Who the study is looking for

  • Confirmed diagnosis of colorectal cancer or high-risk appendiceal neoplasm (High grade Appendiceal Mucinous Neoplasm (HAMN), goblet-cell carcinoma or adenocarcinoma).
  • No evidence of residual peritoneal disease based on referring surgeon operating report and preoperative imaging.
  • At least one high-risk feature for peritoneal recurrence, including:
    • Synchronous peritoneal metastases resected at index surgery;
    • Synchronous ovarian metastases resected at index surgery;
    • Perforated primary tumor.
  • No evidence of distant metastases.
  • Patient fit for cytoreductive surgery, if required (ECOG 0 or 1).

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
CIUSSS de l'Est-de-l'Île-de-Montréal
Coordinator of this site? Confirm its status
MontrealCanadaUnknown status
CHU de Quebec
Coordinator of this site? Confirm its status
QuébecCanadaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.