Ultrasound Imaging for Pancreatic Cancer

RK
KG
Jessica Scott, PhD profile photo
Overseen ByJessica Scott, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Memorial Sloan Kettering 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 whether a special computer-analyzed ultrasound can accurately measure pancreatic cancer that has spread to the liver, similar to a typical CT scan with contrast dye. It uses an ultrasound imaging technique to compare its results with those from a routine CT scan. The trial seeks participants with pancreatic ductal adenocarcinoma (PDAC) or similar cancers that have metastasized to the liver and are already scheduled for a CT scan. As an unphased trial, this study offers participants the chance to contribute to innovative imaging research that could enhance cancer diagnostics.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this ultrasound imaging technique is safe for measuring PDAC tumors?

Research has shown that ultrasound imaging is generally safe. For example, endoscopic ultrasound, which uses a special tube to examine the body, has a high success rate with no reported deaths. Although some patients experienced pancreatitis, or swelling of the pancreas, this occurrence is rare.

Overall, ultrasound methods used to diagnose and treat pancreatic cancer have been well-tolerated. This suggests that using ultrasound for imaging in this trial is likely safe for participants.12345

Why are researchers excited about this trial?

Researchers are excited about the new ultrasound imaging technique for pancreatic cancer because it offers a unique non-invasive way to monitor the disease. Unlike standard methods like contrast-enhanced CT scans, this research ultrasound can potentially provide more frequent and detailed insights without the need for radiation exposure. This technique could allow for better tracking of tumor changes over time, helping doctors tailor treatments more effectively and improve patient outcomes.

What evidence suggests that this ultrasound imaging technique is effective for measuring PDAC tumors in the liver?

Research has shown that ultrasound imaging is a promising tool for managing pancreatic cancer. Studies have found it effective in diagnosing and treating this cancer, often with high success rates. In some patients, ultrasound significantly reduced the blood supply to tumors. Additionally, ultrasound techniques are usually less invasive and more affordable than traditional methods. In this trial, participants will undergo research ultrasound (rUS1) to measure tumor size. Early results suggest that ultrasound could reliably replace CT scans for certain tasks.26789

Who Is on the Research Team?

KG

Kinh Gian Do, MD, PhD

Principal Investigator

Memorial Sloan Kettering Cancer Center

Are You a Good Fit for This Trial?

This trial is for adults over 18 with pancreatic ductal adenocarcinoma (PDAC) or gastrointestinal (GI) adenocarcinoma that has spread to the liver. They must be scheduled for a routine CT scan. People can't join if they can't handle IV contrast, have very small liver metastases, or if their liver is more than half taken up by tumors.

Inclusion Criteria

I am scheduled for a CT scan with contrast.
My cancer started in the pancreas or GI tract and has spread to my liver.

Exclusion Criteria

My liver cancer spots are all 10 mm or smaller.
You can't handle the injection of contrast dye into your veins.
More than half of my liver is affected by cancer.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Initial Imaging

Participants undergo research ultrasound (rUS1) within three days of their routine contrast-enhanced CT scan (CECT)

1 week
1 visit (in-person)

Follow-up Imaging

A subset of participants undergo a second research ultrasound (rUS2) at 3-4 weeks after rUS1

3-4 weeks
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after imaging procedures

1 year

What Are the Treatments Tested in This Trial?

Interventions

  • Ultrasound Imaging Technique
Trial Overview The study tests whether a special computer program analyzing ultrasound images can measure PDAC tumors in the liver as accurately as regular contrast-enhanced CT scans.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: research ultrasound (rUS1)Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials
1,998
Recruited
602,000+

Published Research Related to This Trial

High-intensity focused ultrasound (HIFU) is a safe and non-invasive treatment option for advanced pancreatic cancer, as shown in a study of 224 cases with no severe complications reported.
While some patients experienced mild side effects like increased serum amylase levels and gastrointestinal dysfunction, the overall safety profile was positive, indicating that careful preparation and execution are essential for successful outcomes.
Safety evaluation of high-intensity focused ultrasound in patients with pancreatic cancer.Wang, K., Zhu, H., Meng, Z., et al.[2022]
Contrast-enhanced ultrasound significantly improves the accuracy of diagnosing pancreatic tumors compared to conventional ultrasonography, potentially influencing the choice of further imaging tests.
While multidetector computed tomography is the gold standard for assessing solid pancreatic lesions, MRI is better for evaluating cystic lesions and the ductal system, highlighting the importance of selecting the appropriate imaging technique based on the type of pancreatic tumor.
Imaging techniques in pancreatic tumors.D'Onofrio, M., Gallotti, A., Pozzi Mucelli, R.[2022]

Citations

Advances in Endoscopic Ultrasound in Pancreatic Cancer ...This article aims to provide an overall review of the current applications of EUS in the diagnosis and treatment of pancreatic cancer
Pancreatic CancerLearn how focused ultrasound could transform the quality of life and decrease the cost of care for patients with Pancreatic Cancer and ...
Effectiveness of Abdominal Ultrasonography for Improving ...In this study, we evaluated the efficacy of medical checkups using abdominal ultrasonography (US). We retrospectively analyzed 374 patients with PC at our ...
High-Intensity Focused Ultrasound (HIFU) in Pancreatic ...In a study involving 25 patients with pancreatic cancer, post-HIFU ultrasound imaging revealed a significant reduction in tumor blood supply in nine patients [ ...
Clinical outcomes and efficacy of endoscopic ultrasound ...EUS-A is a safe and promising modality in the management of unresectable pancreatic cancer with a high technical and clinical success rate.
Safety trial of high-intensity focused ultrasound therapy for ...CONCLUSION: We suggest that HIFU therapy is safe and has the potential to be a new method of combination therapy for PC. Core tip: The results of chemotherapy ...
Safety and efficacy of high-intensity focused ultrasound in ...Overall survival (S2) rates at 6, 12, and 18 months from HIFU were 53.1%, 31.6%, and 23.5%, respectively, with a median survival of 7.4 months.
Evaluating the safety and diagnostic accuracy of ...The researchers conclude that cytology analysis of pancreatic samples collected by EUS-FNA can provide a safe and accurate means to detect EVMM often missed by ...
Endoscopic ultrasound-guided radiofrequency ablation ...The aim of this study is to report safety-profile, feasibility and outcomes of EUS-RFA for advanced PDAC.
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