This pilot clinical trial studies how well voxel based diffusion tensor imaging in predicting response in patients with brain metastases undergoing whole-brain radiation therapy or stereotactic radiosurgery. Voxel based diffusion tensor imaging (VB-DTI) may allow doctors to measure response to whole brain radiation therapy or stereotactic radiosurgery earlier than is possible with a standard magnetic resonance imaging. The earlier ability to measure response may allow for consideration of alternative therapies at an earlier stage.
PRIMARY OBJECTIVES: I. To determine if voxel based diffusion tensor imaging will provide an early predictive assessment of therapy response, as compared to radiographic volumetric response criteria. OUTLINE: Patients undergoing whole-brain radiation therapy (WBRT) for a total of 10 fractions also undergo VB-DTI magnetic resonance imaging (MRI) at baseline, 1 week after WBRT initiation, and 7-11 days after completion of WBRT. Patients undergoing stereotactic radiosurgery (SRS) without WBRT also undergo VB-DTI MRI at baseline and 7-11 days after completion of SRS. After completion of study, patients are followed up every 2 months for 6 months and then every 6 months until death.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Undergo VB-DTI
Undergo WBRT
Undergo SRS
Albert Einstein College of Medicine
The Bronx, New York, United States
Percentage of voxel-based mean apparent diffusion coefficient (ADC) increase per lesion
Time frame: Up to 3 years
Volume fraction of voxels showing treatment-related VB-DTI changes for each lesion
Spearman's rank analysis will be used to determine if a correlation exists between the volume fraction of voxels showing treatment-related VB-DTI changes and the volumetric radiographic response for each lesion. Statistical significance will be achieved with a p value \< 0.05.
Time frame: At 4 months
Volumetric radiographic response for each lesion
Spearman's rank analysis will be used to determine if a correlation exists between the volume fraction of voxels showing treatment-related VB-DTI changes and the volumetric radiographic response for each lesion. Statistical significance will be achieved with a p value \< 0.05. Statistical significance will be achieved with a p value \< 0.05.
Time frame: At 4 months
Change in a lesion's overall mean ADC
Spearman's rank analysis will be used to determine if a correlation exists between the volume fraction of voxels showing treatment-related VB-DTI changes and the volumetric radiographic response for each lesion. Statistical significance will be achieved with a p value \< 0.05. Statistical significance will be achieved with a p value \< 0.05.
Time frame: Baseline to 4 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Undergo contrast-enhanced MRI
Undergo DW MRI