Spectral CT during embolization and ablation for liver and kidney tumors
Official title: Intra-procedural Spectral CT for Image-guided Embolization and Ablation in Interventional Oncology
Run by Palo Alto Veterans Institute for Research · NCT07303725 · Data updated 2026-11-12
This pilot tries a new spectral CT technique during image-guided embolization and ablation for adults with liver or kidney tumors to see if it improves image quality and helps guide treatment.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Palo Alto Veterans Institute for Research Academic / other |
| Locations | 1 site (Palo Alto, California) |
| Status | Recruiting |
| Started | February 1, 2025 |
| Main results expected | February 1, 2026 |
| Study ends | September 1, 2026 |
| Registry record updated | December 26, 2025 |
| Trial ID | NCT07303725 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with a liver (primary or metastatic) or renal tumor larger than 1.5 cm in an area without prior surgical or ablative therapy who are eligible for the indicated embolization or ablation procedure may qualify.
✕Probably not a fit
Patients who are not candidates for the indicated procedure, have BMI over 35, have prior surgery at the target site, or have tumors ≤1.5 cm are unlikely to gain benefit from participating.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational pilot will collect intra-procedural spectral CT images using Canon Medical's 4D CT system during mapping arteriography before trans-arterial radioembolization (TARE) and during tumor ablation. The study will record feasibility of image acquisition, image quality, and procedural utility such as shunt fraction estimation, lesion identification, T:N dose ratio prediction, and dose distribution. It will also explore spectral CT-derived effective atomic number maps to detect physiologic tissue changes during ablation in both ex vivo models and clinical ablation procedures. Procedures will be performed at VA Palo Alto Healthcare System in collaboration with Canon Medical Systems without altering standard clinical workflow.
Why it matters
Potential benefit: If successful, this technique could give clearer intra-procedural images to improve tumor targeting, dose planning, and monitoring during embolization and ablation.
How similar studies have gone: Spectral and dual-energy CT methods have shown promise in diagnostic and interventional imaging, but intra-procedural 4D spectral CT for guiding embolization and ablation is a relatively novel application with limited prior clinical data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: 1. Age \> or = 18 years 2. Tumor in an area without prior surgical or ablative therapy 3. At least 1 tumor greater than 1.5 cm in greatest diameter Exclusion criteria: 1. Not eligible for indicated procedure. 2. BMI \> 35 3. Prior surgery.
Where it's running
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VA Palo Alto Healthcare System
Palo Alto, California, United States Recruiting
Study contacts
- Principal investigator: Sirish Kishore, MD — VA Palo Alto Health Care System
- Study coordinator: Sirish Kishore, MD
- Email: sirish.kishore@va.gov
- Phone: 650-493-5000
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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.