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Multi-modality Imaging (PCa) Using Sodium MRI and PSMA PET in Men Pre-prostatectomy (IGPC-5)

Contact information

icon Project Coordinator: Catherine Hildebrand, PhD

icon London Health Sciences Centre

icon London, Ontario, Canada, N6A 5W9

Basic information

icon

icon Age

icon 45 Enrollment

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Cancer Prostate Cancer
Trial Details
Brief Summary

The study is a non-randomized, prospective trial of men scheduled for radical prostatectomy for treatment of prostate cancer as standard of care and will undergo a series of pre-operative multi-modality imaging studies. Pre-operative imaging will be correlated with actual pathology results and statistical modeling performed to determine the most informative imaging biomarkers in predicting cancer location and aggressiveness (Gleason Score).

Official Title

Multi-modality Prostate Cancer Image Guided Interventions - 5

Selection Criteria
Eligibility Inclusion Criteria
    - Provision of informed consent for this study
    - Male, aged 18 years or older
    - Pathologically confirmed prostate cancer on previous biopsy
    - Suitable for and consenting to Radical Prostatectomy for treatment as standard of care
Eligibility Exclusion Criteria
    - Prior therapy for prostate cancer (including hormone therapy)
    - Use of 5-alpha reductase inhibitors, i.e. finasteride (Proscar) or dutasteride (Avodart) within 6 months of study start. Patients undergoing a 6-month washout period prior to study start will be eligible.
    - Inability to comply with the pre-operative imaging panel
    - Patients scheduled for radical prostatectomy with prostate size exceeding 65 cc
    - Allergy to contrast agents to be used as part of the imaging panel
    - Acute kidney injury (AKI), chronic kidney disease (CKD) Stage 4 or 5 (estimated Glomerular Filtration - Rate [eGFR] < 30 mL/min/1.73m2) or those on dialysis
    - Post-void residual urine volume > 150 cc (determined by post-void ultrasound)
    - Hip prosthesis, vascular grafting that is MRI incompatible or sources of artefact within the pelvis

    Contraindication to MRI

    - pacemaker or other electronic implants
    - known metal in the orbit
    - cerebral aneurysm clips

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