Advanced MRI to distinguish recurrent brain tumor from radiation necrosis
Official title: Advanced Dual-Nuclei MRI for Differentiation of Recurrent Brain Metastases and Radiation Necrosis
Run by Jonsson Comprehensive Cancer Center · NCT07339085 · Data updated 2026-11-12
This trial tests whether advanced MRI scans (DR-CSI and sodium imaging) can tell if people with metastatic brain tumors have tumor recurrence or treatment-related radiation necrosis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 42 (estimated) |
| Sponsor | Jonsson Comprehensive Cancer Center Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Los Angeles, California) |
| Status | Recruiting |
| Started | August 28, 2025 |
| Main results expected | July 30, 2030 |
| Study ends | July 30, 2030 |
| Registry record updated | January 15, 2026 |
| Trial ID | NCT07339085 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with metastatic brain tumors who are scheduled for surgical resection or biopsy (Aim 1) or for stereotactic radiosurgery (Aim 2) and who can safely undergo MRI are ideal candidates.
✕Probably not a fit
Patients who cannot have MRI (due to contraindicated implants), have severe renal impairment, or have widespread leptomeningeal disease are unlikely to benefit from this imaging-focused protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional protocol uses dual-nuclei microstructural MRI, including diffusion-relaxation correlation spectrum imaging (DR-CSI) and sodium imaging, to develop biomarkers that distinguish recurrent brain metastasis from radiation necrosis. In Aim 1, patients undergo the advanced scans before standard-of-care surgical resection or biopsy with tissue collected for correlation. In Aim 2, patients scheduled for stereotactic radiosurgery (SRS) receive the advanced scans before SRS and at 2 weeks, 3 months, and 6 months after treatment to track longitudinal microstructural changes. Imaging sessions are short (about 30 minutes) and performed alongside routine clinical MRI at UCLA Jonsson Comprehensive Cancer Center.
Why it matters
Potential benefit: If successful, this approach could let clinicians more accurately tell recurrence from radiation injury and choose better, more timely treatments.
How similar studies have gone: Advanced diffusion methods and sodium MRI have shown promising early results in small studies, but the dual-nuclei microstructural biomarker approach here remains relatively novel and not yet widely validated.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \> 18 years old * Diagnosed with metastatic brain tumor * AIM 1: Scheduled for surgical resection or tissue biopsy +/- laser interstitial thermal therapy (LITT) * AIM 2: Scheduled for SRS treatment Exclusion Criteria: * Patients with contraindications to MRI, severe renal impairment * Patients with evidence of disseminated leptomeningeal disease
Where it's running
-
UCLA / Jonsson Comprehensive Cancer Center
Los Angeles, California, United States Recruiting
Study contacts
- Principal investigator: Jingwen Yao — UCLA / Jonsson Comprehensive Cancer Center
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.