Recently, diffusion-weighted (DW) MR imaging has widened its application on various oncologic applications. Especially, it is expected the DW MRI could provide valuable information about early response evaluation after treatment using rapid apparent diffusion coefficient (ADC) value change. It has demonstrated potential usefulness in response evaluation in the liver tumors after treatments such as transarterial chemoembolization (TACE) and radiation therapy (RT). Furthermore, it is a functional imaging technique that does not require a contrast agent, it can be safely used in patients with renal insufficiency or other medical contraindications for contrast agents. The optimal assessment of early response of RT could provide one of the most important information to prescribe patient and cancer specific RT dose. It might be also important in palliative RT of HCC bone metastasis which is related with painful aggressive mass formation. This study is performed to evaluate the usefulness of DW MRI in early response evaluation after RT for HCC bone metastasis.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
17
Samsung Medical Center
Seoul, South Korea
RECRUITINGoral morphine equivalent doseresponse criteria
Degree of pain will be assessed via Visual Analog Scale for Pain (VAS).
Time frame: 3 months after RT completion
Modified Response Evaluation Criteria in Solid Tumor
Time frame: 3 months after RT completion
Time to local tumor progression
Time frame: From RT start to the date up to 24 weeks
Overall survival
Time frame: From RT start to the date up to 24 weeks
Quality of Life
Quality of life will be assessed via European Organization for Research and Treatment (EORTC)- Quality of Life Questionnaire (QLQ)-C15-PAL.
Time frame: 3 months after RT completion
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