Screening for liver metastases in high-risk colorectal cancer patients using MRI
Official title: Screening for Synchronous Metastases in Colorectal Cancer With DW-MRI.
Run by Imperial College London · NCT02246634 · Data updated 2026-11-12
This study is testing if a special type of MRI can find liver cancer spread earlier in patients with high-risk colorectal cancer compared to regular CT scans.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 16 Years and up |
| Sex | All |
| Enrollment | 282 (estimated) |
| Sponsor | Imperial College London Academic / other |
| Locations | 13 sites (Macclesfield, Cheshire and 12 other locations) |
| Status | Recruiting |
| Started | August 2014 |
| Main results expected | December 2026 |
| Study ends | December 2031 |
| Registry record updated | October 17, 2024 |
| Trial ID | NCT02246634 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients aged 16 years or older with high-risk primary colorectal malignancies and no prior evidence of liver metastases.
✕Probably not a fit
Patients with previous colorectal malignancies, existing metastatic disease, or contraindications for MRI will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to evaluate the effectiveness of Diffusion Weighted MRI (DW-MRI) in detecting synchronous liver metastases in patients with high-risk colorectal cancer, compared to standard CT imaging. Eligible participants will undergo DW-MRI scans every six months for three years following surgery, provided they have no prior evidence of liver metastases. The findings from these scans will be shared with local multidisciplinary teams (MDTs) to guide treatment decisions for any identified liver metastases. The goal is to improve early detection and management of metastatic disease.
Why it matters
Potential benefit: If successful, this approach could lead to earlier diagnosis and treatment of liver metastases in colorectal cancer patients, potentially improving survival outcomes.
How similar studies have gone: Other studies have shown promise in using advanced imaging techniques like DW-MRI for detecting metastases, suggesting potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Have a high risk primary colorectal malignancy 2. Have a negative CT or includes no confirmatory evidence of liver metastases 3. Is able to undergo treatment if liver metastasis is found 4. Have provided written informed consent to participate in the study 5. Be aged 16 years or over Exclusion Criteria: 1. Have had a previous colorectal malignancy 2. Have metastatic disease 3. Have a synchronous second malignancy 4. Are contraindicated for MRI 5. Has a T3b or below low rectal tumour without EMVI or N1c
Where it's running
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Macclesfield District General Hospital
Macclesfield, Cheshire, United Kingdom Recruiting -
Broomfield Hospital
Chelmsford, Essex, United Kingdom Recruiting -
Royal Bolton Hospital
Bolton, Greater Manchester, United Kingdom Recruiting -
Medway Maritime Hospital
Gillingham, Kent, United Kingdom Recruiting -
University Hospital of South Manchester & Manchester Royal Infirmary
Wythenshawe, Manchester, United Kingdom Recruiting -
Royal Liverpool Hospital
Liverpool, Merseyside, United Kingdom Recruiting
Show 7 more locations
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Royal Stoke University Hospital
Stoke-on-Trent, Staffordshire, United Kingdom Recruiting -
Royal Marsden Hospital
Sutton, Surrey, United Kingdom Recruiting -
Royal Gwent Hospital
Newport, Wales, United Kingdom Recruiting -
George Eliot Hospital
Nuneaton, Warwickshire, United Kingdom Recruiting -
Salisbury District Hospital
Salisbury, Wiltshire, United Kingdom Recruiting -
Queen Alexandra Hospital
Portsmouth, United Kingdom Recruiting -
Queen's Hospital
Burton-on-Trent, Derbyshire, United Kingdom Not yet recruiting
Study contacts
- Principal investigator: Gina Brown — Imperial College London
- Study coordinator: Caroline Martin
- Email: c.martin1@imperial.ac.uk
- Phone: +44 (0) 7749 655 817
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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.