The study's aim is to define imaging and molecular bio-markers for prediction of radiotherapy response of squamous cell carcinomas, in an early treatment phase.
Patients with squamous cell carcinoma of the head \& neck, anal canal, cervix, esophagus or lung will be assessed before start of radiotherapy and 1-2 weeks after start. Multi-parametric MRI and 18F-2-fluoro-2-deoxy-D-glucose fluorodeoxyglucose (18F-FDG) positron emission tomography (PET) will be performed in parallel to metabolomic analyses of tumour tissue. The investigators will correlate changes in imaging bio-markers to corresponding changes in tissue or blood bio-markers by repeated imaging and biopsies for better understanding of the image parameters. The data from the two assessments will be used for identifying imaging bio-markers, predictive for outcome. The patient data will be divided into one set of data for hypothesis generation and another set for validation.
Study Type
OBSERVATIONAL
Enrollment
118
Umeå University
Umeå, Sweden
Loco regional control
After completion of radiotherapy
Time frame: 2 years
Loco regional tumour control (response)
After completion of radiotherapy
Time frame: 2 months
Patterns of failure
Time and location of recurrence
Time frame: 2 years
Overall survival
After completion of radiotherapy
Time frame: 5 years
Changes in imaging and metabolic data
As measured 1-2 weeks after start of radiotherapy
Time frame: 1-2 weeks
Site specific toxicity
Measured as patient reported side-effects
Time frame: 1 year
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