Comparison of Whole Breast Screening Ultrasound and Contrast Enhanced Mammography for Supplemental Breast Cancer Screening

NCT ID: NCT02310698

Last Updated: 2025-03-28

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

COMPLETED

Total Enrollment

487 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-12-02

Study Completion Date

2025-03-26

Brief Summary

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Breast tumors are often detected on mammography but may be harder to see in women with dense breasts. This is why screening breast ultrasound is sometimes used as another test in women with dense breasts. Ultrasound has been shown to detect additional cancers that are not seen on regular mammography.

Contrast Enhanced Digital Mammography (CEDM) is a FDA approved form of mammography. It is essentially a routine digital mammogram performed after iodine dye (the same that is used with CT scans) is injected into a vein in the arm. Like screening ultrasound, CEDM has been shown to detect breast cancers that are not seen on a regular mammogram. The purpose of this study is to compare whether CEDM or screening breast ultrasound is better at detecting cancer. Both will be done in this study and compared to one another.

Detailed Description

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Conditions

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Breast Cancer Screening

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Breast Cancer Screening Patients

* Women presenting for screening full field digital mammography (FFDM) and WBUS on the same day or within 30 days of one another.

o These women will be offered CEDM instead of the FFDM.
* Women that are scheduled for CEDM alone.

o These women will be offered WBUS in addition to the CEDM.
* Women scheduled for both CEDM and WBUS on the same day or within 30 days of one another.

contrast enhanced digital mammography (CEDM)

Intervention Type DEVICE

whole breast screening ultrasound (WBUS)

Intervention Type DEVICE

Interventions

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contrast enhanced digital mammography (CEDM)

Intervention Type DEVICE

whole breast screening ultrasound (WBUS)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Women scheduled for screening WBUS and a screening FFDM on the same day or within the following 30 days of each other
* Women scheduled for screening CEDM alone
* Women scheduled for WBUS and screening CEDM on the same day or within 30 days of one another

Exclusion Criteria

* Age \< 30 years old
* Male patients
* Patients with any clinical breast symptoms (palpable mass, nipple discharge, etc)
* Patients with known diagnosis of breast cancer
* Patients with any breast surgery or biopsy within 90 days prior to the study
* Patients who have had a lumpectomy for breast cancer within 18 months prior to the study
* Patients who are thought to have a breast MRI within 1 year prior to the study
* Patients with contraindication to the intravenous use of iodinated contrast agent (i.e. allergy to iodinated contrast or severely impaired renal function with a creatinine level ≥1.3)
Minimum Eligible Age

30 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janice Sung, MD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Countries

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United States

References

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Horvat JV, Amir T, Watt GP, Comstock CE, Nissan N, Jochelson MS, Sung JS. Comparison of Contrast-enhanced Mammography and Low-Energy Imaging with or without Supplemental Whole-Breast US in Breast Cancer Detection. Radiology. 2025 Mar;314(3):e242006. doi: 10.1148/radiol.242006.

Reference Type DERIVED
PMID: 40067106 (View on PubMed)

Related Links

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http://www.mskcc.org/

Memorial Sloan Kettering Cancer Center

Other Identifiers

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14-240

Identifier Type: -

Identifier Source: org_study_id

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