Comparison of Low-dose Spiral Breast CT With MRI in Major Indications of MRI for Breast Diagnostics

NCT ID: NCT05989022

Last Updated: 2025-01-30

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

RECRUITING

Clinical Phase

NA

Total Enrollment

428 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-24

Study Completion Date

2025-12-31

Brief Summary

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Comparison between two diagnostic modalities for breast cancer diagnosis. Two different imaging systems are compared to evaluate the performance of the two systems

Detailed Description

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The diagnostic quality of MRI of the breast has made this method a gold standard in the imaging of senologic lesions. Low-dose dedicated breast CT (BCT) with single photon-detection (nu:view, developed by AB-CT - Advanced Breast-CT GmbH) has emerged as a fully 3D imaging modality that uses ionizing radiation comparable to 2D mammography and has its intended use in helping with diagnosis in diagnostic breast imaging.

The investigation is designed as a prospective non-randomized intra-individual cohort procedure comparison between the imaging platforms, nu:view and MRI. Across 3 hospital-based study sites in two countries, study participants (patients who meet study criteria and have consented) sequentially receive nu:view imaging and, with a delay of up to one week (preferably on the same day), MRI imaging. At both times, patients receive contrast agent. Images generated from breasts are evaluated by three independent radiologists and their scores and interpretations are statistically evaluated. The research aim is to demonstrate non-inferiority of BCT compared with MRI in major indications of MRI for breast diagnostics.

The perceived gain in the study is to generate data on clinical performance of the BCT device nu:view and on the procedure that could be supportive of a tailored use of nu:view in patients with major indications of MRI for breast diagnostics.

Conditions

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Breast Cancer Diagnosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Comparison between both modalities in single patients
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Imaging Breast Diagnostic

Imaging breast diagnostic where patients receive both modalities MRI and B-CT to compare the resolution of the two different diagnostic devices in the same patient

Group Type OTHER

Injection of contrast enhancing agent Gadovist for MRI investigation

Intervention Type DIAGNOSTIC_TEST

Image enhancing contrast agent will be injected to enhance MRI resolution in breast cancer diagnosis

Injection of contrast enhancing agent Imeron for B-CT investigation

Intervention Type DIAGNOSTIC_TEST

Image enhancing contrast agent will be injected to enhance B-CT resolution in breast cancer diagnosis

Interventions

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Injection of contrast enhancing agent Gadovist for MRI investigation

Image enhancing contrast agent will be injected to enhance MRI resolution in breast cancer diagnosis

Intervention Type DIAGNOSTIC_TEST

Injection of contrast enhancing agent Imeron for B-CT investigation

Image enhancing contrast agent will be injected to enhance B-CT resolution in breast cancer diagnosis

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Sex: female
2. Age: at least 18 years
3. Inconclusive findings in conventional imaging or preoperative staging or evaluation of therapy response in the neoadjuvant chemotherapy setting or imaging of the breast after breast-conserving therapy or finding the cause of hemorrhagic nipple discharge or prosthesis imaging or screening of women with hereditary or familial increased risk for the development of breast cancer or axillary lymph node metastasis suspected to originate from breast tissue
4. Persons able and willing to understand and sign informed consent form

Exclusion Criteria

1. Known pregnancy or breastfeeding
2. Presence of BRCA1 or BRCA2 allele
3. Insufficient renal function (MDRD)
4. Dysfunction of the thyroid gland (TSH degradation)
5. Known allergy or intolerance against iodine-containing contrast enhancing agents or MRI contrast enhancing agents
6. Patients with paramagnetic or magnetic material inside the breast, claustrophobia
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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CRO Dr. med Kottmann GmbH & Co. KG

INDUSTRY

Sponsor Role collaborator

RQM+

INDUSTRY

Sponsor Role collaborator

AB-CT - Advanced Breast-CT GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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DRZ Die Radiologen

Regensburg, Bavaria, Germany

Site Status RECRUITING

Radiologisches Institut Universitätsklinikum Erlangen

Erlangen, , Germany

Site Status RECRUITING

Stichting Martini Ziekenhuis

Groningen, , Netherlands

Site Status RECRUITING

Leiden University Medical Centre

Leiden, , Netherlands

Site Status RECRUITING

Countries

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Germany Netherlands

Facility Contacts

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Dr. Andreas Kämena, MD

Role: primary

+49-941585310

Bengül Noor, MD

Role: backup

+49-941585310

Sabine Ohlmeyer, Dr. med

Role: primary

+49 9131 85 ext. 33460

Arnoud Meijer, MD

Role: primary

+31 50 524 ext. 5345

Martin Wasser, MD

Role: primary

+31 71 526 ext. 1840

Other Identifiers

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ldBCT-MRI-C

Identifier Type: -

Identifier Source: org_study_id

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