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N/A N=45 Treatment

Intraoperative Dosimetry for Prostate Brachytherapy Using Fluoroscopy and Ultrasound

Prostate Cancer · Adenocarcinoma of the Prostate

Enrolled (actual)
45
Serious AEs
0.0%
Results posted
Feb 2020
Primary outcome: Primary: Procedure Time — 30 minutes

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Brachytherapy (Radiation)
Age
Adult, Older Adult · 18+ yrs
Sex
Male
Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Primary completion
Dec 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Procedure Time
30
SECONDARY
Seed Reconstruction From Intra-operative Fluoroscopy
45
SECONDARY
Number of Participants With Seed Reconstruction Utilizing RUF Versus CT / Magnetic Resonance Imaging (MRI) Reconstruction
SECONDARY
Impact of RUF System on Dosimetric Outcomes of Seed Placement as Assessed by Number of Patients With Prostate V100 of 95% or Greater
44
SECONDARY
Mean Difference in D90 Between Intra-operative RUF and Standard CT/MRI Based Dosimetry
8
SECONDARY
Dosimetric Accuracy Comparison Between Pre and Post Ultrasound (US) Implantation Prostate Edema
SECONDARY
Quality of Life (QoL) Assessments
SECONDARY
Prostate Specific Antigen (PSA) Outcomes
45

Summary

The purpose of this study is to assess the performance of a system of intraoperative dynamic dosimetry during prostate seed implantation (brachytherapy) including its new elements, to evaluate and refine technical methods of using the system, as well as confirm its performance and accuracy.

Eligibility Criteria

Inclusion Criteria

  • Histologically confirmed, localized adenocarcinoma of the prostate
  • Clinical stages T1b - T3a
  • The patient has decided to undergo brachytherapy (or brachytherapy plus external beam radiation) as a treatment modality for his prostate cancer
  • Karnofsky Performance Status > 60
  • Prostate volume by transrectal ultrasound (TRUS) < 55 cc
  • International Prostate symptom score (IPSS) 20 or less
  • Ability to have Magnetic resonance imaging as part of post-implant assessment
  • Signed study-specific consent form prior to registration

Exclusion Criteria

  • Stage T3b or greater disease.
  • Prior history of pelvic radiation therapy
  • Significant obstructive symptoms (IPSS greater than 20)
  • Major medical or psychiatric illness which, in the investigator's opinion, would prevent completion of treatment and would interfere with follow up.
  • Implanted device or apparatus which obstruct visibility of the implanted sources on fluoroscopy
  • Metallic implants, claustrophobia not amenable to medication, or known contraindications to undergoing MR scanning
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02225925). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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