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Recruiting NCT04420702

Diffusion Basis Spectrum Imaging of the Prostate

No phase Interventional Prostate Cancer

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: MRI with DBSI analysis.
Who it may be relevant to
Registry conditions: Prostate Cancer. Basic parameters: from 18 years · Male.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Diffusion Basis Spectrum Imaging of the Prostate: A Virtual Biopsy to Accurately Diagnose Prostate Cancer

Overview

Diffusion Basis Spectrum Imaging (DBSI) represents a potential leap forward in improving prostate cancer early detection: a non-invasive and accurate imaging test for clinically significant prostate cancer.

Interventions

  • Device MRI with DBSI analysis
    -The procedure will take approximately 1 hour of the participant's time

Primary outcome measures

  • Area under the curve (AUC) comparison from biopsy and DBSI [Time frame: Up to 12 weeks]
  • Receiver operating characteristic (ROC) comparison from biopsy to DBSI [Time frame: Up to 12 weeks]
  • Prostate sector analysis as measured by comparison of the highest Gleason score from each of the 10 biopsy sectors to the DBSI predicted pathology from each sector [Time frame: Up to 12 weeks]
Secondary outcome measures (4)
  • Comparison of Gleason score from the MRI regions of interest to the DBSI predicted pathology [Time frame: Up to 12 weeks]
  • Area under the curve (AUC) comparison from DBSI to conventional MRI interpretation [Time frame: Up to 12 weeks]
  • Receiver operating characteristic (ROC) comparison from DBSI to conventional MRI interpretation [Time frame: Up to 12 weeks]
  • Compare DBSI with the advanced restriction spectrum imaging (RSI) [Time frame: Up to 12 weeks]

Eligibility criteria

Inclusion criteria

  • Over 18 years of age and willing and able to provide informed consent.
  • Patients with no prior diagnosis of prostate cancer, who are planning to undergo prostate biopsy as clinical standard of care ("early detection cohort")
  • Including those men with:
  • an elevated PSA and no prior biopsy
  • an elevated PSA and a negative prior biopsy
  • Patients with a prior diagnosis of prostate cancer, who are currently managed with active surveillance, who are planning to undergo biopsy as clinical standard of care ("active surveillance cohort")

Exclusion criteria

  • Patients with any clinical contraindication to MRI

\*Including but not limited to:

  • Those with metallic implants, such as pacemakers or implantable cardioverter-defibrillators
  • Those with cochlear implants
  • Those with claustrophobia not relieved with medications (patients with claustrophobia who do not need medications for the scan or whose claustrophobia can be managed with medication, are eligible to participate)
  • Those who cannot lie flat for over 1 hour
  • Patients with prior prostate surgery for prostate cancer (e.g. radical prostatectomy, focal ablation)

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Non-randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Diagnostic

Study locations

United States · 1 center
  • Washington University School of Medicine — St Louis

Identifiers

NCT: NCT04420702 · 201908215 · R01CA258690

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗