Patients with loco-regional NSCLC planned for curative treatment with chemoradiotherapy will be invited to participate in a prospective study; besides routine treatment, the patients will be followed with an ECG and cardiac MR for at least two years after radiotherapy treatment.
Definitive chemo-radiotherapy is the treatment of choice for loco-regional advanced non-small cell lung cancer (LA-NSCLC). However, the treatment is associated with a range of side effects with radiation pneumonitis and esophagitis. In addition, the toxicity of the heart in lung cancer patients treated with radiotherapy has been offered less consideration. Therefore, it is essential to investigate the possible early and late toxicity to the heart and the baseline cardiac status of these patients. This study will describe cardiac comorbidity before radiotherapy treatment by a thorough history. Furthermore, we will evaluate heart function and evaluate possible heart disease by an ECG and cardiac MR. Patients will be followed with ECG and cardiac MR for two years after radiotherapy, detecting structural changes caused by radiotherapy and subclinical disease after radiotherapy.
Study Type
OBSERVATIONAL
Enrollment
100
Cardiac Magnetic Resonance scan and ECG
Odense University Hospital
Odense C, Denmark
RECRUITINGOverall survival
All cause mortality
Time frame: 2 Years
Change in Left Ventricular Ejection Fraction
Change from baseline, evaluated by cardiac MR
Time frame: Baseline, at 6, 12 and 24 months.
Number of participants with treatment related adverse events and cardiac disease after radiotherapy as assesed by CTCAE v4.0.
Assesed by patient interview and review of medical record.
Time frame: 2 years.
Cardiovascular specific mortality
Assesed by patient interview and review of medical record
Time frame: 2 years.
Late enhacment
Evaluated by cardiac MR.
Time frame: At Baseline, 6, 12 and 24 months.
LVEDV changes
Left ventricular enddiastolic change in cMR
Time frame: 2 years
LVESV changes
Left ventricular endsystolic change in cMR
Time frame: 2 years
LV mass in gram
Left ventricular mass in gram.
Time frame: 2 years
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