New scan could spare brain cancer patients unnecessary surgery
NCT ID NCT04244019
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is testing a new type of PET/MRI scan to see if it can tell the difference between a tumor growing back and radiation damage (called radionecrosis) in people who have had brain radiation for cancer. Both conditions look similar on regular scans, so doctors often need surgery to find out which it is. The goal is to see if this special scan can give the right answer without needing an operation. About 30 adults who had brain radiation and now have a new brain lesion will get the scan, and the results will be checked against any surgery or follow-up.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2020
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients presenting after being treated with SRS with a new intracranial lesion with clinical and radiographic findings suspicious for either radionecrosis or tumour progression.
- Ages
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18 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. 18 years or older 2. Previously treated with SRS for BrM 3. New intracranial lesion with clinical and radiographic findings suspicious for either RN or tumour progression 4. May be planned surgical resection of the lesion in question. The determination that the lesion is appropriate for and may require surgical resection will be made by the multi-disciplinary brain metastasis team. Surgery is preferred but not required. If a patient is planned for surgery, the date does not need to be established and the patient does not need to have consented in order to be eligible for this study, however the imaging procedure will need to occur prior to the date of surgery. 5. A negative serum pregnancy test within the two-week interval immediately prior to PET-MRI imaging for women of child-bearing age 6. Ability to provide written informed concern to participate in the study Exclusion Criteria: 1. Previous radiotherapy to the intended treatment volume 2. Active malignancy other than sarcoma 3. Inability to remain supine for at least 60 minutes 4. Pregnancy or breast feeding 5. Age \<18 years 6. Failure to provide written informed consent 7. Contraindication for MRI as per current institutional guidelines
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University Health Network
Toronto, Ontario, L4W4C2, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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