This study aims to evaluate whether pre-treatment MRI can be used to predict treatment response for anti-angiogenic treatment in glioblastomas.
Although overall the effects on prolonging survival in bevacizumab-treated patients is modest at best, it is still unclear whether there is not a more substantial positive effect in a subset of patients, potentially identifiable by imaging markers. Allowing for prediction of good or bad responder from anti-angiogenic therapy prior to treatment completion is important to select patients most likely to benefit from anti-angiogenic treatment. This is a prospective observational study and no active comparator will be used. Study participants include adult patients with recurrent glioblastoma. We hypothesized that quantifying changes in multi-modal advanced MR imaging techniques would allow early treatment response and long-term prediction in glioblastomas.
Study Type
OBSERVATIONAL
Enrollment
15
T1-weighted, T2-weighted, fluid-attenuated inversion recovery, and contrast-enhanced T1-weighted imaging
Diffusion-weighted imaging, amide proton transfer-weighted imaging, electrical properties tomography, and 2hG-magnetic resonance spectroscopy
Cerebral blood volume and vessel architectural imaging parameters
Asan Medical Center
Seoul, South Korea
Progression free survival
Time from anti-angiogenic treatment until death or the first imaging report indicating worsening/progression.
Time frame: Average 9 months
6-month progression
Pathologic confirmation following second look surgery or clinico-radiological assessment at 6-month
Time frame: 6 month
Overall survival
Time from anti-angiogenic treatment to death
Time frame: Average 12 months
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