Artificial Intelligence in Breast Cancer Screening Programs
NCT ID: NCT04949776
Last Updated: 2025-08-14
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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COMPLETED
NA
31301 participants
INTERVENTIONAL
2022-03-15
2024-01-11
Brief Summary
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The hypothesis raised in this work is that reading strategies based on artificial intelligence (single or double reading only of cases with a score\> 7 with Transpara®), allow reducing the workload of a screening program by more than 50 % with respect to the standard reading of the program (double reading of all cases without Transpara®), without presenting inferiority in terms of detection rates and recalls of the program, both with the use of 2D digital mammography and with the use of tomosynthesis or 3D mammogram.
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
DIAGNOSTIC
NONE
Study Groups
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Double reading of all cases with and without Transpara software
Double reading of all cases with and without Transpara software
Mammograms
In the women participating in the study, two strategies for reading mammograms will be carried out:
Strategy 1: Standard reading of the program. Double independent and non-consensual reading of all cases, without any artificial intelligence system (standard strategy).
Strategy 2: Reading strategy based on the global Score granted by Transpara® (strategy based on artificial intelligence):
* In studies with a Score \<8 (studies with a low probability of cancer): They will not be evaluated by any radiologist.
* In studies with a Score\> 7 (studies with a high probability of cancer): double reading will be carried out, assisted by Transpara®.
Interventions
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Mammograms
In the women participating in the study, two strategies for reading mammograms will be carried out:
Strategy 1: Standard reading of the program. Double independent and non-consensual reading of all cases, without any artificial intelligence system (standard strategy).
Strategy 2: Reading strategy based on the global Score granted by Transpara® (strategy based on artificial intelligence):
* In studies with a Score \<8 (studies with a low probability of cancer): They will not be evaluated by any radiologist.
* In studies with a Score\> 7 (studies with a high probability of cancer): double reading will be carried out, assisted by Transpara®.
Eligibility Criteria
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Inclusion Criteria
1. Women studied in the program during the established period and who have previously participated.
2. Women studied in the program for the first time in the established period.
Exclusion Criteria
2. Women with breast prostheses.
3. Women with signs or symptoms of suspected breast cancer.
50 Years
71 Years
FEMALE
Yes
Sponsors
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Maimónides Biomedical Research Institute of Córdoba
OTHER
Responsible Party
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Principal Investigators
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Esperanza Elias Cabot, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Universitario Reina Sofia de Cordoba
Locations
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Hospital Universitario Reina Sofia
Córdoba, Córdoba, Spain
Countries
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References
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Raya-Povedano JL, Romero-Martin S, Elias-Cabot E, Gubern-Merida A, Rodriguez-Ruiz A, Alvarez-Benito M. AI-based Strategies to Reduce Workload in Breast Cancer Screening with Mammography and Tomosynthesis: A Retrospective Evaluation. Radiology. 2021 Jul;300(1):57-65. doi: 10.1148/radiol.2021203555. Epub 2021 May 4.
Rodriguez-Ruiz A, Lang K, Gubern-Merida A, Broeders M, Gennaro G, Clauser P, Helbich TH, Chevalier M, Tan T, Mertelmeier T, Wallis MG, Andersson I, Zackrisson S, Mann RM, Sechopoulos I. Stand-Alone Artificial Intelligence for Breast Cancer Detection in Mammography: Comparison With 101 Radiologists. J Natl Cancer Inst. 2019 Sep 1;111(9):916-922. doi: 10.1093/jnci/djy222.
Rodriguez-Ruiz A, Lang K, Gubern-Merida A, Teuwen J, Broeders M, Gennaro G, Clauser P, Helbich TH, Chevalier M, Mertelmeier T, Wallis MG, Andersson I, Zackrisson S, Sechopoulos I, Mann RM. Can we reduce the workload of mammographic screening by automatic identification of normal exams with artificial intelligence? A feasibility study. Eur Radiol. 2019 Sep;29(9):4825-4832. doi: 10.1007/s00330-019-06186-9. Epub 2019 Apr 16.
Rodriguez-Ruiz A, Krupinski E, Mordang JJ, Schilling K, Heywang-Kobrunner SH, Sechopoulos I, Mann RM. Detection of Breast Cancer with Mammography: Effect of an Artificial Intelligence Support System. Radiology. 2019 Feb;290(2):305-314. doi: 10.1148/radiol.2018181371. Epub 2018 Nov 20.
Yala A, Schuster T, Miles R, Barzilay R, Lehman C. A Deep Learning Model to Triage Screening Mammograms: A Simulation Study. Radiology. 2019 Oct;293(1):38-46. doi: 10.1148/radiol.2019182908. Epub 2019 Aug 6.
Sasaki M, Tozaki M, Rodriguez-Ruiz A, Yotsumoto D, Ichiki Y, Terawaki A, Oosako S, Sagara Y, Sagara Y. Artificial intelligence for breast cancer detection in mammography: experience of use of the ScreenPoint Medical Transpara system in 310 Japanese women. Breast Cancer. 2020 Jul;27(4):642-651. doi: 10.1007/s12282-020-01061-8. Epub 2020 Feb 12.
Le EPV, Wang Y, Huang Y, Hickman S, Gilbert FJ. Artificial intelligence in breast imaging. Clin Radiol. 2019 May;74(5):357-366. doi: 10.1016/j.crad.2019.02.006. Epub 2019 Mar 18.
Other Identifiers
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AITIC
Identifier Type: -
Identifier Source: org_study_id
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