Photoacoustic Imaging for Lymph Node Cancer

Priya R. Bhosale profile photo
Overseen ByPriya R. Bhosale
Age: 18+
Sex: Any
Trial Phase: Phase < 1
Sponsor: M.D. Anderson Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new method to determine if lymph nodes in the groin area are cancerous. It uses photoacoustic imaging, which combines light and sound to reveal details about the lymph nodes, such as size and shape. This method may help doctors stage cancer more accurately and avoid unnecessary surgeries. Suitable participants have a known type of cancer, suspicious groin lymph nodes on regular scans, and are scheduled for a needle test or biopsy. As an Early Phase 1 trial, this research aims to understand how this new imaging method works in people, offering participants the opportunity to be among the first to benefit from this innovative technology.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this imaging method is safe for detecting lymph node cancer?

Research shows that multispectral optoacoustic tomography (MSOT) offers a promising way to create images of the body. In studies with oral cancer patients, MSOT accurately identified lymph nodes free of cancer, without mistakes, reliably indicating non-cancerous nodes. Importantly, these studies found no major side effects or safety problems, suggesting MSOT is safe to use.

Ultrasound, a common and safe imaging tool, already checks lymph nodes and often works alongside methods like MSOT to provide a clearer picture. Research indicates that ultrasound is generally safe and does not cause harm.

Overall, current research suggests both MSOT and ultrasound are safe for people. This trial uses these methods to further explore their potential in detecting cancer. However, as an early phase trial, it primarily aims to check safety and gather initial information.12345

Why are researchers excited about this trial?

Researchers are excited about photoacoustic imaging for lymph node cancer because it combines ultrasound technology with light waves to create detailed images of tissues. Unlike traditional ultrasound, which only uses sound waves, this method can provide more precise information about the blood vessels and oxygen levels in lymph nodes, potentially leading to better diagnosis. This technique is non-invasive and might reduce the need for more invasive procedures like biopsies, making the diagnostic process quicker and less uncomfortable for patients.

What evidence suggests that ultrasound-guided photoacoustic imaging is effective for detecting cancerous lymph nodes?

Studies have shown that photoacoustic imaging, one of the methods tested in this trial, is a powerful tool for detecting changes in lymph nodes, crucial for diagnosing cancer. This imaging method not only captures clear pictures but also provides information about oxygen levels in cells, aiding in distinguishing between healthy and cancerous tissues. In one study, photoacoustic imaging successfully identified strong signals in cancerous lymph nodes. Another study demonstrated its usefulness in mapping lymph nodes before surgery in patients with melanoma and breast cancer. Meanwhile, ultrasound, another method used in this trial, is already known for its accuracy in predicting whether lymph nodes are cancerous, especially when combined with artificial intelligence. Together, these methods offer promising ways to improve cancer diagnosis and treatment planning.678910

Who Is on the Research Team?

Priya Bhosale | MD Anderson Cancer Center

Priya R. Bhosale

Principal Investigator

M.D. Anderson Cancer Center

Are You a Good Fit for This Trial?

This trial is for cancer patients with suspicious groin lymph nodes identified by standard imaging and scheduled for needle aspiration or biopsy. It's not suitable for melanoma patients or those with deep (3-5 cm) or small (<1 cm) lymph nodes.

Inclusion Criteria

Suspicious inguinal lymph nodes for metastasis on a conventional imaging modality
I am scheduled for a needle biopsy guided by ultrasound.
My cancer diagnosis was confirmed through a biopsy.

Exclusion Criteria

My lymph nodes are not deep (3-5 cm) or small (<1 cm) enough to be excluded.
I have melanoma, which may affect test results due to its nature.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Imaging and Biopsy

Patients undergo standard of care ultrasound of the lymph nodes, then undergo ultrasound-guided photoacoustic imaging over 3-5 minutes, followed by standard of care ultrasound-guided fine needle aspiration or biopsy of a suspicious lymph node

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after imaging and biopsy

3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Fine-Needle Aspiration
  • Lymph Node Biopsy
  • Multispectral optoacoustic tomography (MSOT) acuity instrument
  • Photoacoustic Imaging
  • Ultrasound
Trial Overview The study tests ultrasound-guided photoacoustic imaging to distinguish between healthy and cancerous groin lymph nodes, aiming to improve tumor staging and reduce unnecessary surgeries.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Diagnostic (ultrasound, ultrasound-guided PAI, FNA, biopsy)Experimental Treatment5 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

M.D. Anderson Cancer Center

Lead Sponsor

Trials
3,107
Recruited
1,813,000+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Citations

Clinical photoacoustic imaging of cancer - PMCResults from the ex vivo lymph nodes resected from one patient suggested that their system was able to detect strong photoacoustic signal intensity throughout ...
Dual-wavelength photoacoustic imaging of sentinel lymph ...This study illustrates the feasibility of ICG-enhanced dual-wavelength PAI for preoperative SLN mapping in patients with melanoma and breast cancer.
Photoacoustic imaging: a potential tool to detect early ...Photoacoustic imaging is capable of providing noninvasive, real-time imaging of significant anatomical and physiological changes indicating the progression of ...
Photoacoustic imaging for monitoring radiotherapy ...This work presents the first in-human PAI study for monitoring the response of malignant lymph nodes in head and neck cancer patients to RT over ...
Photoacoustic Molecular Imaging for the Identification of ...The presence of lymph node (LN) metastases is an essential prognostic indicator in patients with head and neck squamous cell carcinoma (HNSCC).
Multispectral optoacoustic tomography for in vivo detection of ...Oral cancer patients undergo diagnostic surgeries to detect occult lymph node metastases missed by preoperative structural imaging techniques.
Version 6.0 (21-Jul-2021) Confidential Page 1 of 30Targeted noninvasive imaging of EGFR-expressing orthotopic pancreatic cancer using multispectral optoacoustic tomography. Cancer Res. 2014 ...
8.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/35541024/
Multispectral optoacoustic tomography for in vivo detection ...Multispectral optoacoustic tomography (MSOT) is a rapidly evolving imaging technique that may improve preoperative detection of (early-stage) lymph node ...
Multispectral optoacoustic tomography to differentiate ...Multispectral optoacoustic tomography was able to identify cancer-free lymph nodes in vivo without a single false negative (33 total lymph nodes) ...
Assessment of Nonradioactive Multispectral Optoacoustic ...Multispectral optoacoustic tomographic imaging appears to be a viable nonradioactive alternative to detect SLNs in malignant tumors.
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