Gadolinium-weighted MRI to better find brain metastases

A Prospective Comparative Study of a Novel Gadolinium-Weighted MRI Sequence Versus Conventional T1-Weighted Imaging for the Detection of Brain Metastases

Observational Region Stockholm · NCT07272616

This will test a new MRI technique after gadolinium contrast to see if it finds more or smaller brain metastases in adults having a routine contrast brain MRI.

Quick facts

Study typeObservational
Enrollment100 (estimated)
Ages18 Years and up
SexAll
SponsorRegion Stockholm Government
Locations1 site (Stockholm, Solna)
Trial IDNCT07272616 on ClinicalTrials.gov

What this trial studies

This prospective comparison enrolls adults with known or suspected brain metastases who are already scheduled for a clinical gadolinium-enhanced brain MRI. Each participant receives the routine contrast-enhanced MRI followed by an additional gadolinium-weighted sequence without increasing the contrast dose or overall scan time. Images from the novel sequence will be compared to standard MRI images to determine whether it improves detection of lesions. The observational study is conducted at Karolinska University Hospital in Solna, Sweden.

Who should consider this trial

Good fit: Adults (18+) scheduled for a clinical gadolinium-enhanced brain MRI with known or suspected brain metastases who can provide consent and lie still for the scan.

Not a fit: Patients with MRI or gadolinium contraindications, severe renal impairment (eGFR < 30 mL/min/1.73 m²), pregnant or breastfeeding individuals, or those unable to comply with procedures are unlikely to benefit.

Why it matters

Potential benefit: If successful, it could help doctors find more or smaller brain metastases earlier without extra contrast or longer scan times.

How similar studies have performed: While other optimized MRI approaches have sometimes improved lesion detection, this specific gadolinium-weighted sequence is relatively new and not yet proven in large clinical series.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18 years or older
* Scheduled for clinical brain MRI with gadolinium contrast
* Known or suspected brain metastases
* Able to provide informed consent
* Able to lie still for the duration of the MRI examination

Exclusion Criteria:

* Contraindications to MRI
* Known allergy or contraindication to gadolinium-based contrast agents
* Renal impairment (eGFR \< 30 mL/min/1.73m²)
* Pregnant or breastfeeding
* Inability to comply with study procedures

Where this trial is running

Stockholm, Solna

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Brain Neoplasms
Last reviewed 2026-06-13 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.