DLSCT for Breast Cancer Detection in Women With Dense Breasts

NCT ID: NCT05181059

Last Updated: 2022-01-06

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

Total Enrollment

14 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-01

Study Completion Date

2023-01-01

Brief Summary

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The main objective of this project is to demonstrate the feasibility of DLSCT to detect breast cancer in women with dense breasts.

Patients with locoregional advanced primary breast cancer and heterogeneously (n = 7) or extremely dense breasts (n = 7) as determined by mammography will be included in this study. These patients have an indication for a positron emission tomography computed tomography (PET-CT) scan to search for distant metastases. In this study the participants will undergo an additional contrast enhanced DLSCT scan to determine the feasibility of spectral CT to detect breast cancer in women with dense breasts.

Detailed Description

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Conditions

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Breast Neoplasms Breast Density Radiographic Image Interpretation, Computer-Assisted

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Interventions

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Dual-layer spectral computerized tomography (DLSCT)

Contrast enhanced DLSCT scan using a 128-slice dual-layer detector (IQon Spectral CT, Philips Health Systems) will be performed. Patients will be placed in prone position during the DLSCT scan in order to improve the visualisation of breast tissue and comparability with MRI images. During the examination we will administer a nonionic low-osmolar iodinated contrast agent (Optiray©) in order to visualise tumor angiogenesis.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of histopathologically proven locoregional advanced primary breast cancer:

1. Tumors \> 5 cm (= T3) or
2. Tumors with invasion of the skin or chest wall (= T4) or
3. Any tumor with ≥ 4 axillary lymph nodes or ipsilateral internal mammary, infraclavicular or supraclavicular nodal involvement (= N2-3)
* Heterogeneously or extremely dense breasts as described by visual assessment on full-field digital mammograms: category C or D according to the ACR BI-RADS lexicon

Exclusion Criteria

* History of allergic reactions to iodinated contrast agents
* Pregnancy or breast feeding
* Treatment of thyroid disease with radioactive iodine
* Use of metformin
* Creatinine clearance \< 45 ml/min
* Chronic or acutely worsening renal disease
* Patients who are declared incompetent
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Rijnstate Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Laura N Deden

Role: PRINCIPAL_INVESTIGATOR

Rijnstate Hospital

Maxime V.P. Schyns, MD

Role: PRINCIPAL_INVESTIGATOR

Rijnstate Hospital

Locations

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Rijnstate Hospital

Arnhem, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Carla M Meeuwis, MD,PhD

Role: CONTACT

+31 26 378 8888

Facility Contacts

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Carla A Meeuwis, MD, PhD

Role: primary

Other Identifiers

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NL76792.091.21

Identifier Type: -

Identifier Source: org_study_id

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