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Spatial RadiomIcs and TRanscriptomics to the DIscovery of the Cross-link Between Colon Cancer and ChrOnic Kidney Disease
Bu çalışma, uzamsal radyomik ve transkriptomik yöntemlerini kullanarak kolon kanseri (colon cancer) ile kronik böbrek hastalığı (chronic kidney disease) arasındaki bağlantıyı araştırmaktadır. Çalışmaya, ameliyat edilebilir evre I veya II kolorektal kanser tanısı bulunan, 18 yaş ve üzeri, kronik böbrek hastalığı olan ve olmayan hastalar alınmaktadır. National Cancer Institute, Naples tarafından yürütülen faz uygulanmayan çalışma halen katılımcı almaktadır.
Yukarıdaki özet, resmî kaydın sade dile aktarılmış halidir. Orijinal İngilizce başlık referans için gösterilir.
Kriterler ClinicalTrials.gov kaydından orijinal İngilizce haliyle alınmıştır. Uygunluk kararını yalnızca deneyi yürüten ekip verebilir.
Inclusion Criteria: * Age ≥ 18 years * Life expectancy greater than 3 months \*\* * Histopathological diagnosis of colorectal cancer stage I or II according to the TNM (Tumor, Node, Metastasis) classification * Patients with tumors classified as T1-T3, N0, M0 (stage I-II) eligible for surgery * Ability to understand and sign the informed consent * Clinically stable patients with no significant changes in renal function or disease management in the weeks prior to enrollment \*\* For the non-CKD group • Adequate liver, renal and bone marrow function (adequate levels of hemoglobin, platelets, creatinine and bilirubin) For the CKD group * Confirmed diagnosis of chronic kidney disease according to the KDIGO (Kidney Disease: Improving Global Outcomes) guidelines defined by a duration of at least three months with structural or functional abnormalities of the kidneys * BSA (Body Surface Area Area) eGFR≤60 ml/min/1.73 m2 Exclusion Criteria: * Recent episodes of acute renal failure * Kidney transplant, autoimmune diseases; inflammatory bowel diseases; other than oncological or oncohematological diseases of CRC * Recent therapies with steroids/immunosuppressants and cardiovascular events (within 3 months of enrollment) * History of serious allergic reactions to iodinated contrast agents or gadolinium-based contrast agents * Recent or planned invasive or surgical treatments that could interfere with the study (within 3 months of enrollment) * Psychiatric disorders that could impair the patient's ability to follow study procedures or provide informed consent * Other types of concomitant or previous tumors in the previous 5 years of enrollment * Pregnant or breastfeeding women. Pregnancy status will be ascertained before enrollment by measuring Beta-hCG in urine (Pregnancy Test or urinary beta-HCG) or in blood (plasma beta-hCG).