Artificial Intelligence in Breast Cancer Screening Programs

NCT ID: NCT04949776

Last Updated: 2025-08-14

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

Clinical Phase

NA

Total Enrollment

31301 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-15

Study Completion Date

2024-01-11

Brief Summary

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The use of artificial intelligence software in breast screening (Transpara®) makes it possible to identify studies with a very low probability of cancer.

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.

Detailed Description

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Conditions

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Breast Cancer Screening

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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Double reading of all cases with and without Transpara software

Double reading of all cases with and without Transpara software

Group Type EXPERIMENTAL

Mammograms

Intervention Type DIAGNOSTIC_TEST

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®.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

All women between 50 and 71 years of age (including women who reach that age in the year of appointment), in the Reina Sofía University Hospital district, invited to participate in the Breast Cancer Early Detection Program, that have been randomly assigned in the Hologic equipment (DM or DBT), and who agree to participate in the study by signing the informed consent form.

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

1. Women invited to the program who do not agree to participate in the research study by signing the informed consent form.
2. Women with breast prostheses.
3. Women with signs or symptoms of suspected breast cancer.
Minimum Eligible Age

50 Years

Maximum Eligible Age

71 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Maimónides Biomedical Research Institute of Córdoba

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

Countries

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Spain

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.

Reference Type BACKGROUND
PMID: 33944627 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30834436 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30993432 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30457482 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 31385754 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32052311 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30898381 (View on PubMed)

Other Identifiers

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AITIC

Identifier Type: -

Identifier Source: org_study_id

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