Value of Tomosynthesis in Breast Lesion Characterization and Breast Cancer Staging
1 other identifier
interventional
424
1 country
6
Brief Summary
Study Rationale: an accurate breast cancer staging has a great impact in the management of a breast cancer. MRI is considered as the most sensible exam for this staging. However it has a low specificity and it may result in extra testing and stress for the patient, add to costs, and delay treatment. By contrast, Tomosynthesis is performed during the same time than mammography and has a good specificity. Although this modality is very promising, it has not been assessed in a population of consecutive patients. Study objectives: To compare the diagnostic performance of preoperative bilateral Combo mode (MG+Tomosynthesis) versus mammography among women with breast cancer for the detection of additional multifocal, multicentric, and contralateral cancers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable breast-cancer
Started Nov 2012
Typical duration for not_applicable breast-cancer
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 19, 2012
CompletedFirst Submitted
Initial submission to the registry
March 22, 2013
CompletedFirst Posted
Study publicly available on registry
June 20, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedMay 29, 2024
June 1, 2013
2.7 years
March 22, 2013
May 27, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
diagnostic performance of preoperative bilateral Combo mode (MG+Tomosynthesis) versus mammography among women with breast cancer for the detection of additional multifocal, multicentric, and contralateral cancers.
In all sites, Mammography and Tomosynthesis will be standardised and performed according to the Combo mode with 2 views for each breast. Any additional breast lesion assigned a BI-RAD 4 or 5 score after the full staging work-up will be biopsied under the best imaging method. (BIRADS scale : BIRADS 4a or higher is considered to be positive for cancer ) The Gold Standard diagnosis is defined as the final diagnosis at 1 year on the basis of the most severe histopathologic result (surgery, biopsy) for that lesion. A retrospective imaging evaluation of mammography versus Combo mode will be performed for the patients diagnosed with a breast cancer lesion. This retrospective imaging evaluation will be conducted centrally within the assessment committee at the lesion, breast and patient level.
1 year
Secondary Outcomes (2)
performance of MG vs Combo (MG+Tomosynthesis) for the diagnosis of multicentricity
1 year
performance of MG vs Combo (MG+Tomosynthesis) for the diagnosis of multifocality
1 year
Study Arms (1)
Tomosynthesis
OTHERBilateral mammography with 4 views Tomosynthesis
Interventions
no intervention pre specified to be administered to participants
Eligibility Criteria
You may qualify if:
- Women at least 40 years old
- Subject with a new lesion recommended for biopsy, whatever the modality which detected the lesion (clinical examination, mammography, tomosynthesis, US, or MRI)
You may not qualify if:
- Subjects with BRCA mutation or at high genetic risk
- Subjects who have breast implants
- Personal history of breast cancer
- Subjects who are pregnant or who think they may be pregnant
- Subjects who are breast-feeding
- Subjects who are unable or unwilling to tolerate study constraints
- Subjects unable or unwilling to undergo informed consent
- Subject with no rights from the national health insurance programme
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (6)
Private Hospital oh Antony
Antony, 92169, France
UH Grenoble
Grenoble, 34043, France
Oscar Lambret Center
Lille, 59000, France
Jean Mermoz Hospital
Lyon, 69008, France
UH Montpellier
Montpellier, 34295, France
Hospital Valenciennes
Valenciennes, 59322, France
Related Publications (1)
Fontaine M, Tourasse C, Pages E, Laurent N, Laffargue G, Millet I, Molinari N, Taourel P. Local Tumor Staging of Breast Cancer: Digital Mammography versus Digital Mammography Plus Tomosynthesis. Radiology. 2019 Jun;291(3):594-603. doi: 10.1148/radiol.2019182457. Epub 2019 Apr 9.
PMID: 30964425DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Patrice Taourel
UH Montpellier
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 22, 2013
First Posted
June 20, 2013
Study Start
November 19, 2012
Primary Completion
August 1, 2015
Study Completion
December 1, 2015
Last Updated
May 29, 2024
Record last verified: 2013-06