Multifunctional Magnetic Resonance Imaging in Predicting Breast Lesions in Women Undergoing Mastectomy for Breast Cancer

NCT ID: NCT00602316

Last Updated: 2013-08-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Brief Summary

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RATIONALE: Diagnostic procedures, such as multifunctional magnetic resonance imaging, may help doctors learn the extent of disease and plan the best treatment.

PURPOSE: This clinical trial is studying how well multifunctional magnetic resonance imaging works in predicting breast lesions in women undergoing mastectomy for breast cancer.

Detailed Description

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OBJECTIVES:

* To determine the accuracy of multifunctional magnetic resonance (MR) in detecting, localizing, and characterizing satellite lesions in relation to an index breast tumor in order to improve definition of clinical target volume after local excision.

OUTLINE: Patients receive an injection of gadolinium chelate and undergo multifunctional magnetic resonance (MR) imaging, including dynamic contrast-enhanced MR, hydrogen-MR spectroscopy, and diffusion-weighted MRI, of the ipsilateral breast within 4 weeks before surgery. Patients undergo a mastectomy as planned. The resected specimen is photographed, and a histopathological analysis is performed consisting of the size and grade (if pre-invasive or invasive disease) of each satellite lesion, classification of benign satellite lesions, dimensions of each lesion, distance from the edge of the index tumor to the center of each satellite lesion, and the distance from the center of the surface of the nipple to the center of each lesion.

Conditions

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Breast Cancer

Keywords

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invasive ductal breast carcinoma stage IA breast cancer stage IB breast cancer stage II breast cancer stage IIIA breast cancer

Study Design

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Primary Study Purpose

DIAGNOSTIC

Interventions

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gadolinium-chelate

Intervention Type DRUG

conventional surgery

Intervention Type PROCEDURE

magnetic resonance imaging

Intervention Type PROCEDURE

magnetic resonance spectroscopic imaging

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Biopsy-confirmed invasive ductal carcinoma of the breast
* Unifocal disease as defined by clinical examination, mammography, and ultrasound
* Patient must be proceeding to mastectomy
* Hormone receptor status unknown
* No T4d or multifocal disease (as defined on conventional imaging)
* Index tumor ≤ 4 cm in diameter

PATIENT CHARACTERISTICS:

* Menopausal status not specified
* Female
* No claustrophobia
* No cup size of DD or greater

PRIOR CONCURRENT THERAPY:

* No prior surgery to ipsilateral breast
* No prior neoadjuvant chemotherapy
* No prior ferromagnetic implants
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Royal Marsden NHS Foundation Trust

OTHER

Sponsor Role lead

Principal Investigators

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Anna Kirby

Role:

Royal Marsden NHS Foundation Trust

Locations

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Royal Marsden - Surrey

Sutton, England, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Facility Contacts

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Contact Person

Role: primary

Other Identifiers

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RMH-CCR2995

Identifier Type: -

Identifier Source: secondary_id

CDR0000581176

Identifier Type: -

Identifier Source: org_study_id