Clinical trial Recruiting at 1 site Observational Ages 18 and up

Comparing dual-energy CT and MRI for staging oral and oropharyngeal squamous cell carcinoma

Official title: Dual-energy CT vs. MRI in the Evaluation of Squamous Cell Carcinomas of the Oral Cavity and Oropharynx

Run by University Hospital, Strasbourg, France · NCT07343271 · Data updated 2026-11-12

This will test whether 40 keV dual-energy CT can replace a contrast-enhanced neck and facial MRI for staging adults with oral or oropharyngeal squamous cell carcinoma.

More Oral Squamous Cell Carcinoma trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment30 (estimated)
SponsorUniversity Hospital, Strasbourg, France
Academic / other
Locations1 site (Strasbourg)
StatusRecruiting
StartedJuly 11, 2025
Main results expectedJuly 2026
Study endsJuly 11, 2026
Registry record updatedJanuary 15, 2026
Trial IDNCT07343271 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with biopsy-confirmed oral or oropharyngeal squamous cell carcinoma who have had an ENT nasofibroscopy and both a contrast-enhanced cervicofacial MRI and contrast-enhanced DECT with the BOLT maneuver.

Probably not a fit

Patients with non-squamous tumors, lesions located on the lip (labial), or with contraindications to MRI or CT are unlikely to benefit from replacing MRI with DECT.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study compares 40 keV dual-energy CT (with the BOLT maneuver) to standard contrast-enhanced cervicofacial MRI for determining TNM stage in adults with oral or oropharyngeal squamous cell carcinoma. Eligible participants have biopsy-proven disease and undergo both imaging exams as part of their pre-therapeutic workup. Imaging results will be compared to determine concordance and to test non-inferiority of DECT relative to MRI for tumor and nodal staging. If DECT proves non-inferior, it could shorten the pre-treatment imaging pathway and reduce reliance on MRI resources.

Why it matters

Potential benefit: If successful, patients could avoid an additional MRI, get staged faster, begin treatment sooner, and free up limited MRI slots.

How similar studies have gone: Smaller studies have suggested dual-energy CT can improve soft-tissue contrast in head and neck cancer, but direct non-inferiority to MRI for TNM staging is not yet established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult patient (≥18 years)
* presenting with oral or oropharyngeal squamous cell carcinoma proven by histopathological analysis of a biopsy
* having undergone a clinical examination with nasofibroscopy by an ENT surgeon specializing in cancer surgery
* a contrast-enhanced cervicofacial MRI
* and a contrast-enhanced cervicofacial DECT with BOLT maneuver.

Exclusion Criteria:

* A lesion other than oral or oropharyngeal squamous cell carcinoma
* A labial location
* A contraindication to performing one or both of the imaging examinations.

Where it's running

  • Service d'ORL et de Chirurgie Cervico-faciale - CHU de Strasbourg - France
    Strasbourg, France
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.