Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Motion tracking during lung cancer radiotherapy using real-time MRI

Official title: Combining 4D MRI and 4DCT for Personalized Volumetric Motion Monitoring in Lung Radiation Therapy

Run by University of Maryland, Baltimore · NCT07398209 · Data updated 2026-11-12

A trial tests real-time tracking of lung tumor motion during radiation therapy in adults with certain stages of NSCLC to see if MRI can help guide treatment.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment44 (estimated)
SponsorUniversity of Maryland, Baltimore
Academic / other
Drugs / interventionschemotherapy, immunotherapy, radiation
Locations1 site (Baltimore, Maryland)
StatusRecruiting
StartedApril 14, 2026
Main results expectedApril 2028
Study endsApril 2029
Registry record updatedJune 26, 2026
Trial IDNCT07398209 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with histologically confirmed stage II–IIIb NSCLC undergoing definitive external beam radiotherapy and able to have MRI.

Probably not a fit

Patients unable to undergo MRI or without the ability to benefit from motion-guided targeting may not receive additional benefit.

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

What this trial studies

This interventional study uses four-dimensional MRI to track lung tumor motion and nearby organs during external beam radiotherapy. During treatment, X-ray fluoroscopy images are also used to correlate motion with delivery. The goal is to understand whether real-time motion information can improve precision of radiation targeting. Eligible participants have stage II-IIIb NSCLC and are receiving definitive radiotherapy, with MRI compatible and able to undergo MRI scans. The sponsor is the University of Maryland, with the University of Maryland Greenebaum Cancer Center as the site.

Why it matters

Potential benefit: If successful, real-time motion tracking could improve targeting accuracy and potentially reduce side effects by sparing healthy tissue.

How similar studies have gone: Prior studies in motion management have shown promise in other sites, but this exact MRI-based real-time approach in NSCLC is being explored.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Adult (≥18 years) patients (both sexes) with histologically diagnosed Stage II-IIIb NSCLC
2. Patients to be treated with definitive external beam photon radiotherapy with or without systemic therapy (e.g., chemotherapy, immunotherapy).
3. No restrictions on number radiotherapy fractions, or location/number of lesions
4. ECOG performance status ≤ 3
5. Ability to undergo MRI scans
6. Patient has signed informed consent document and agreed to study procedures

Exclusion Criteria:

1. Pre-existing contraindications for MRI, such as any MRI-conditional or MRI-unsafe foreign objects within the body, non-removable ear cochlear or eye implant, aneurysm clip, cardiac pacemaker/wires, internal defibrillator, tissue expander, recent stent placement, penile prosthesis, medication patch, artificial limb, pregnancy, and claustrophobia
2. Women who are pregnant or trying to get pregnant (self-reported)
3. Pain in supine position or inability to raise arm above head in supine position

Where it's running

  • University of Maryland Greenebaum Cancer Center
    Baltimore, Maryland, United States
    Recruiting

Study contacts

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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.