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Be Part of Research - Trial Details - Pre-therapeutic MRI Assessment of Early-Stage Rectal Cancer and Significant Rectal Polyps to Avoid Major Resectional Surgery

Pre-therapeutic MRI Assessment of Early-Stage Rectal Cancer and Significant Rectal Polyps to Avoid Major Resectional Surgery

Medical Conditions

Rectal Neoplasms


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


When a patient is diagnosed with a rectal (bowel) polyp or cancer, radiology doctors read MRI scans to describe how deeply the cancer invades into the bowel wall (this is the 'stage' of the cancer). In this project, we will teach radiologists to find more early-stage rectal cancers. These are cancers that have only grown partially into the bowel wall. If we succeed, more patients could have these lesions removed by a local procedure that preserves the bowel and avoids the risks and complications of major surgery.

We have developed a new method for radiology doctors to read MRI scans, which is more accurate than current practice. Currently only 3/10 of early rectal cancers are found by radiologists but by using our MRI reading system, 9/10 patients can be accurately identified as having early rectal cancer. We have proven that we can teach this method to other radiology doctors whose reports help to accurately inform patients of all possible treatment options, so they can be offered the option of a local procedure.

In this initial work we will train radiology doctors in our MRI reading method in 20 hospitals. We will compare MRI reports before and after training to see if an accurate reading method improves treatments choices for patients. We will also determine whether more patients have local procedures after our training. The results of this initial work will help us to apply for national funding for a trial that we can quickly roll out to all NHS hospitals.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

Sep 2024 Dec 2026

Publications

"Detering R, van Oostendorp SE, Meyer VM, van Dieren S, Bos ACRK, Dekker JWT, Reerink O, van Waesberghe JHTM, Marijnen CAM, Moons LMG, Beets-Tan RGH, Hompes R, van Westreenen HL, Tanis PJ, Tuynman JB; Dutch ColoRectal Audit Group*. MRI cT1-2 rectal cancer staging accuracy: a population-based study. Br J Surg. 2020 Sep;107(10):1372-1382. doi: 10.1002/bjs.11590. Epub 2020 Apr 16."; "32297326"; "Balyasnikova S, Read J, Wotherspoon A, Rasheed S, Tekkis P, Tait D, Cunningham D, Brown G. Diagnostic accuracy of high-resolution MRI as a method to predict potentially safe endoscopic and surgical planes in patients with early rectal cancer. BMJ Open Gastroenterol. 2017 Aug 14;4(1):e000151. doi: 10.1136/bmjgast-2017-000151. eCollection 2017."; "29259791"

INTERVENTIONAL

Intervention Type : DIAGNOSTIC_TEST
Intervention Description : MRI scans will be recommended for all rectal polyps ≥20mm in size, or with other features suspicious of malignancy, prior to removal. This is designed to reduce the numbers of Early Rectal Cancers missed in endoscopy.

Intervention Arm Group : Intervention Arm Schedule;

Intervention Type : OTHER
Intervention Description : Radiologist training in the use of the PRESERVE mrSRT for suspected Early Rectal Cancer.

Intervention Arm Group : Intervention Arm Schedule;



You can take part if:



You may not be able to take part if:


This is in the inclusion criteria above


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • John Radcliffe Hospital
    Oxford
    Oxfordshire
    OX3 9DU
  • Leicester Royal Infirmary
    Leicester
    Leicestershire
    LE1 5WW
  • Royal Berkshire Hospital
    Reading
    Berkshire
    RG1 5AN
  • Southampton General Hospital
    Southampton
    Hampshire
    SO16 6YD
  • St Helier Hospital
    Carshalton
    Surrey
    SM5 1AA
  • Maidstone Hospital
    Maidstone
    Kent
    ME16 9QQ
  • Kent & Canterbury Hospital
    Canterbury
    Kent
    CT1 3NG
  • St George'S Hospital
    Tooting
    London
    SW17 0QT
  • Salisbury District Hospital
    Salisbury
    Wiltshire
    SP2 8BJ
  • King's College Hospital NHS Foundation Trust
    London
    Greater London
    SE5 9RS
  • University College London Hospitals Nhs Foundation Trust
    London
    Greater London
    NW1 2PG
  • Hampshire Hospitals NHS Foundation Trust
    Basingstoke
    Hampshire
    RG24 9NA
  • Buckinghamshire Healthcare Nhs Trust
    Amersham
    Buckinghamshire
    AMERSHAM
  • West Middlesex Hospital
    London
    Greater London
    SW10 9NH
  • Imperial College Healthcare Nhs Trus
    London
    Greater London
    W2 1BL
  • The Hillingdon Hospitals Nhs Foundation Trust
    Uxbridge
    Greater London
    UB8 3NN
  • Westmorland General Hospital
    Kendal
    Lancashire
    LA9 7RG
  • Nhs Staffordshire and Stoke-on-Trent Integrated Care Board
    Stafford
    Staffordshire
    ST16 2LP
  • Frimley Health Nhs Foundation Trust
    Camberley
    Surrey
    GU16 7UJ
  • Kingston Hospital Nhs Foundation Trust
    Kingston Upon Thames
    Surrey
    KT2 7QB
  • Croydon Health Services Nhs Trust
    Thornton Heath
    Surrey
    CR7 7YE
  • Tonna Hospital
    Swansea
    Wales
    SA11 3LX
  • St Marks Bowel Cancer Screening Centre
    Harrow
    HA1 3UJ


The study is sponsored by Imperial College London and is in collaboration with Pelican Cancer Foundation; RM Partners West London Cancer Alliance.




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Read full details for Trial ID: NCT04103372
Last updated 30 October 2024

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