DCE-MRI and DWI for Detection and Diagnosis of Breast Cancer

NCT ID: NCT02022579

Last Updated: 2018-10-11

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2019-03-31

Brief Summary

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A type of magnetic resonance imaging called diffusion weighted imaging (DWI) will be tested to define cancerous from non-cancerous lesions in the breast.

Detailed Description

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For this study, the investigators plan to evaluate DWI scans performed in women with breast lesions identified by conventional breast MRI. The investigators will determine whether an ADC threshold can be defined for distinguishing benign and malignant lesions on DWI, assess the difference in ADC cutoffs for mass and non-mass lesions, and investigate the potential improvement in accuracy using techniques such as nonzero minimum b-value (to remove perfusion effects in the ADC measures) and normalized ADC measures (to account for variations in water content and other factors).

Conditions

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Breast Cancer BIRADS 3 BIRADS 4 BIRADS 5

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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DCE-MRI and DWI

Single arm study, diagnosis defined as BIRADS 3, 4, or 5 lesion(s) based on DCE-MRI only with DWI collected in tandem as standard practice.

Group Type EXPERIMENTAL

DCE-MRI and DWI

Intervention Type PROCEDURE

DCE-MRI defined lesion(s) compared with biopsy results or 1-year follow up

Interventions

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DCE-MRI and DWI

DCE-MRI defined lesion(s) compared with biopsy results or 1-year follow up

Intervention Type PROCEDURE

Other Intervention Names

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magnetic resonance imaging MRI DCE-MRI DWI DW-MRI

Eligibility Criteria

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Inclusion Criteria

* Willing and able to provide written informed consent;
* 18 years of age or older;
* Successful completion of breast MR examination with DWI required by protocol;
* Undiagnosed breast lesion (BI-RADS 3, 4, or 5) identified on MRI. The BI-RADS assessment must refer to a focal finding within the breast (i.e. mass, non-mass, or focus) as opposed to diffuse processes (e.g. background parenchymal enhancement, skin thickening) or lesions outside the subcutaneous breast (e.g. axillary lymph nodes, focal skin lesions, osseous lesions, etc.).

Exclusion Criteria

* Participants with current or recent history (within 6 months prior to the MRI) of chemotherapy for cancer;
* Neoadjuvant chemotherapy between MRI and confirmation of lesion outcome (study lesions must be biopsied prior to undergoing any chemotherapy);
* Pregnant (if a female is of childbearing potential - defined as a pre-menopausal female capable of becoming pregnant - confirmation of pregnancy status per the site's standard of practice should be done prior to MRI);
* Unwilling or not suitable to undergo MRI or use the contrast agent gadolinium.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Eastern Cooperative Oncology Group

NETWORK

Sponsor Role collaborator

American College of Radiology Imaging Network

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Savannah Partridge, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Habib Rahbar, MD

Role: STUDY_CHAIR

University of Washington

Thomas Chenevert, PhD

Role: STUDY_CHAIR

University of Michigan

Locations

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University of Washington

Seattle, Washington, United States

Site Status

Countries

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United States

References

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McDonald ES, Romanoff J, Rahbar H, Kitsch AE, Harvey SM, Whisenant JG, Yankeelov TE, Moy L, DeMartini WB, Dogan BE, Yang WT, Wang LC, Joe BN, Wilmes LJ, Hylton NM, Oh KY, Tudorica LA, Neal CH, Malyarenko DI, Comstock CE, Schnall MD, Chenevert TL, Partridge SC. Mean Apparent Diffusion Coefficient Is a Sufficient Conventional Diffusion-weighted MRI Metric to Improve Breast MRI Diagnostic Performance: Results from the ECOG-ACRIN Cancer Research Group A6702 Diffusion Imaging Trial. Radiology. 2021 Jan;298(1):60-70. doi: 10.1148/radiol.2020202465. Epub 2020 Nov 17.

Reference Type DERIVED
PMID: 33201788 (View on PubMed)

Other Identifiers

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U01CA080098

Identifier Type: NIH

Identifier Source: secondary_id

View Link

U01CA079778

Identifier Type: NIH

Identifier Source: secondary_id

View Link

ACRIN 6702

Identifier Type: -

Identifier Source: org_study_id

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