Study Results
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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ACTIVE_NOT_RECRUITING
NA
9000 participants
INTERVENTIONAL
2019-05-28
2025-10-31
Brief Summary
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Detailed Description
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The UK national breast screening programme (NHS BSP) offers all women aged 50-70 screening with 3-yearly mammograms. It aims to reduce breast cancer mortality by 20% by detecting small cancers thereby reducing the number of late stage diagnoses. However only 53% of the cancers being detected are small (\<15mm). This is partly due to masking of cancers by dense breast tissue.
This trial addresses how best to screen women with dense breasts for breast cancer. BRAID will randomise women whose recent screening normal mammogram shows that they have dense breasts to either standard of care (no supplementary imaging) or supplementary imaging with abbreviated MRI (ABB-MRI), automated whole breast ultrasound (ABUS) or contrast enhanced spectral mammography (CEM). These imaging techniques have been shown to be more sensitive than mammography at detecting cancers in dense breast tissue. Our hypothesis is that more cancers will be detected at an earlier stage with supplemental imaging.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
DIAGNOSTIC
NONE
Study Groups
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Standard of Care
Control arm, no supplementary imaging is given. Participants have mammographic screening 3-yearly as per current standard of are.
No interventions assigned to this group
Abbreviated MRI (ABB-MRI)
Supplementary imaging with abbreviated MRI at study entry and 18 months after baseline mammogram.
ABB-MRI
ABB-MRI is a shorter version of breast MRI. Standard T1W pre and post contrast images are acquired. A MIP and post-contrast T1 weighted image are read.
Automated Breast Ultrasound (ABUS)
Supplementary imaging with automated breast ultrasound at study entry and 18 months after baseline mammogram.
ABUS
Automated whole breast ultrasound (ABUS) is undertaken with a large transducer panel placed on the breast in three positions. Resultant images are combined to make a 3D image of the breast.
Contrast Enhanced Mammography (CEM)
Supplementary imaging with contrast enhanced spectral mammography at study entry and 18 months after baseline mammogram.
CEM
A high kV and a low kV image is taken in two standard views of each breast following the intravenous injection of an iodinated contrast agent.
Interventions
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ABUS
Automated whole breast ultrasound (ABUS) is undertaken with a large transducer panel placed on the breast in three positions. Resultant images are combined to make a 3D image of the breast.
CEM
A high kV and a low kV image is taken in two standard views of each breast following the intravenous injection of an iodinated contrast agent.
ABB-MRI
ABB-MRI is a shorter version of breast MRI. Standard T1W pre and post contrast images are acquired. A MIP and post-contrast T1 weighted image are read.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Willing and able to comply with the scheduled study visits, tests and other procedures
* Female
* Screening mammogram that is either normal or being recalled for assessment
* Increased breast density identified on current screening mammogram examination (BIRADS C or D)
* If BIRADS C the reporting radiologist should use clinical judgement as to eligibility, there should be a high chance of a cancer being masked in this participant
* All BIRADS D will be eligible
* Aged 50-70 and eligible for 3-yearly NHS breast screening
Exclusion Criteria
* Unable to give informed consent
* Breast implant(s)
* Unable to be followed-up for the study duration
* Current participation in another interventional breast screening trial (Including but not limited to MyPeBS)
* Participated in part A of the BRAID study
* Pregnant or breast feeding
50 Years
70 Years
FEMALE
No
Sponsors
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Cancer Research UK
OTHER
GE Healthcare
INDUSTRY
Queen Mary University of London
OTHER
Public Health England
OTHER_GOV
University of Cambridge
OTHER
Responsible Party
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Fiona J Gilbert
Professor of Radiology and Head of Department
Principal Investigators
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Fiona Gilbert
Role: PRINCIPAL_INVESTIGATOR
University of Cambridge
Locations
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Tayside Health Board, Ninewells Hospital
Dundee, Dundee, United Kingdom
Greater Glasgow Health Board, Gartnavel Royal Hospital
Glasgow, Glasgow, United Kingdom
University Hospitals of Leicester, Leicester Royal Infirmary
Leicester, Leicestershire, United Kingdom
Barts Health NHS Trust, Royal London Hospital
London, London, United Kingdom
Royal Free London NHS Foundation Trust
London, London, United Kingdom
Nottingham University Hospitals NHS Trust, City Hospital
Nottingham, Nottinghamshire, United Kingdom
Cambridge University Hospitals NHS Foundation Trust
Cambridge, , United Kingdom
Gloucestershire Hospitals NHS Foundation Trust
Cheltenham, , United Kingdom
The Leeds Teaching Hospitals NHS Trust
Leeds, , United Kingdom
Manchester University NHS Foundation Trust
Manchester, , United Kingdom
Countries
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References
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Gilbert FJ, Payne NR, Allajbeu I, Yit L, Vinnicombe S, Lyburn I, Sharma N, Teh W, James J, Seth A, Suaris T, Aggarwal R, Al-Attar M, Savaridas S, Antoniou A, Pharoah P, Duffy S. Comparison of supplemental breast cancer imaging techniques-interim results from the BRAID randomised controlled trial. Lancet. 2025 May 31;405(10493):1935-1944. doi: 10.1016/S0140-6736(25)00582-3. Epub 2025 May 21.
Other Identifiers
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A095053
Identifier Type: -
Identifier Source: org_study_id
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