A Clinical Feasibility Study of a Photoacoustic Finder
Clinical Utility of Photoacoustic Finder in Sentinel Lymph Node Detection in Breast Cancer - Pilot Study
1 other identifier
observational
129
1 country
1
Brief Summary
Determining the prognosis of breast cancer relies significantly on axillary staging by sentinel lymph node biopsy (SLNb). The SLNb is generally performed using radioisotopes, blue dyes, or both to improve the false negative rate. However, a gamma probe with radioisotopes involves ionizing radiation, and blue dye detection relies on visual inspection by an operator. To overcome these limitations, the photoacoustic finder (PAF) was developed as a highly sensitive, non-radioactive detector that uses only blue dye and a photoacoustic signal to detect SLNs. To evaluate the PAF, its performance was compared with the standard SLN detection method for breast cancer patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Dec 2021
Typical duration for all trials
1 active site
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
December 7, 2021
CompletedFirst Submitted
Initial submission to the registry
May 7, 2024
CompletedFirst Posted
Study publicly available on registry
May 14, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2024
CompletedMay 14, 2024
May 1, 2024
2.8 years
May 7, 2024
May 12, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Sentinel lymph node detection (SLN) rate
Number of detected SLNs / Number of total resected LNs
during the surgery
Study Arms (1)
SLN resected patients
Patients with breast cancer underwent sentinel lymph node biopsy
Interventions
Sentinel lymph node detector using photoacoustic signal
Eligibility Criteria
A woman is diagnosed with breast cancer at St Mary's Hospital, Seoul.
You may qualify if:
- age between 19 and 74 years
- histologically confirmed invasive breast cancer or intraepithelial carcinoma
- no clinical suspicion of axillary LN metastasis
You may not qualify if:
- Previously undergone ipsilateral breast
- Axillary surgery
- Received chemotherapy prior to surgery
- who were unable to undergo SLN biopsy
- who had confirmed axillary LN metastasis by histologic examination
- who had breast cancer while lactating or pregnant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Seoul St. Mary's hospital
Seoul, 07345, South Korea
Related Publications (13)
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PMID: 18700030BACKGROUNDStoffels I, Jansen P, Petri M, Goerdt L, Brinker TJ, Griewank KG, Poeppel TD, Schadendorf D, Klode J. Assessment of Nonradioactive Multispectral Optoacoustic Tomographic Imaging With Conventional Lymphoscintigraphic Imaging for Sentinel Lymph Node Biopsy in Melanoma. JAMA Netw Open. 2019 Aug 2;2(8):e199020. doi: 10.1001/jamanetworkopen.2019.9020.
PMID: 31411710BACKGROUNDKim C, Song KH, Gao F, Wang LV. Sentinel lymph nodes and lymphatic vessels: noninvasive dual-modality in vivo mapping by using indocyanine green in rats--volumetric spectroscopic photoacoustic imaging and planar fluorescence imaging. Radiology. 2010 May;255(2):442-50. doi: 10.1148/radiol.10090281.
PMID: 20413757BACKGROUNDHudis CA, Barlow WE, Costantino JP, Gray RJ, Pritchard KI, Chapman JA, Sparano JA, Hunsberger S, Enos RA, Gelber RD, Zujewski JA. Proposal for standardized definitions for efficacy end points in adjuvant breast cancer trials: the STEEP system. J Clin Oncol. 2007 May 20;25(15):2127-32. doi: 10.1200/JCO.2006.10.3523.
PMID: 17513820BACKGROUNDKrag DN, Anderson SJ, Julian TB, Brown AM, Harlow SP, Costantino JP, Ashikaga T, Weaver DL, Mamounas EP, Jalovec LM, Frazier TG, Noyes RD, Robidoux A, Scarth HM, Wolmark N. Sentinel-lymph-node resection compared with conventional axillary-lymph-node dissection in clinically node-negative patients with breast cancer: overall survival findings from the NSABP B-32 randomised phase 3 trial. Lancet Oncol. 2010 Oct;11(10):927-33. doi: 10.1016/S1470-2045(10)70207-2.
PMID: 20863759BACKGROUNDPetrelli F, Lonati V, Barni S. Axillary dissection compared to sentinel node biopsy for the treatment of pathologically node-negative breast cancer: a meta-analysis of four randomized trials with long-term follow up. Oncol Rev. 2012 Oct 8;6(2):e20. doi: 10.4081/oncol.2012.e20. eCollection 2012 Oct 2.
PMID: 25992218BACKGROUNDNaik AM, Fey J, Gemignani M, Heerdt A, Montgomery L, Petrek J, Port E, Sacchini V, Sclafani L, VanZee K, Wagman R, Borgen PI, Cody HS 3rd. The risk of axillary relapse after sentinel lymph node biopsy for breast cancer is comparable with that of axillary lymph node dissection: a follow-up study of 4008 procedures. Ann Surg. 2004 Sep;240(3):462-8; discussion 468-71. doi: 10.1097/01.sla.0000137130.23530.19.
PMID: 15319717BACKGROUNDVeronesi U, Paganelli G, Viale G, Luini A, Zurrida S, Galimberti V, Intra M, Veronesi P, Maisonneuve P, Gatti G, Mazzarol G, De Cicco C, Manfredi G, Fernandez JR. Sentinel-lymph-node biopsy as a staging procedure in breast cancer: update of a randomised controlled study. Lancet Oncol. 2006 Dec;7(12):983-90. doi: 10.1016/S1470-2045(06)70947-0.
PMID: 17138219BACKGROUNDKim T, Giuliano AE, Lyman GH. Lymphatic mapping and sentinel lymph node biopsy in early-stage breast carcinoma: a metaanalysis. Cancer. 2006 Jan 1;106(1):4-16. doi: 10.1002/cncr.21568.
PMID: 16329134BACKGROUNDKrag D, Weaver D, Ashikaga T, Moffat F, Klimberg VS, Shriver C, Feldman S, Kusminsky R, Gadd M, Kuhn J, Harlow S, Beitsch P. The sentinel node in breast cancer--a multicenter validation study. N Engl J Med. 1998 Oct 1;339(14):941-6. doi: 10.1056/NEJM199810013391401.
PMID: 9753708BACKGROUNDPesek S, Ashikaga T, Krag LE, Krag D. The false-negative rate of sentinel node biopsy in patients with breast cancer: a meta-analysis. World J Surg. 2012 Sep;36(9):2239-51. doi: 10.1007/s00268-012-1623-z.
PMID: 22569745BACKGROUNDWang Z, Wu LC, Chen JQ. Sentinel lymph node biopsy compared with axillary lymph node dissection in early breast cancer: a meta-analysis. Breast Cancer Res Treat. 2011 Oct;129(3):675-89. doi: 10.1007/s10549-011-1665-1. Epub 2011 Jul 9.
PMID: 21743996BACKGROUNDPark B, Han M, Park J, Kim T, Ryu H, Seo Y, Kim WJ, Kim HH, Kim C. A photoacoustic finder fully integrated with a solid-state dye laser and transparent ultrasound transducer. Photoacoustics. 2021 Aug 4;23:100290. doi: 10.1016/j.pacs.2021.100290. eCollection 2021 Sep.
PMID: 34401325BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Dooreh Kim, MD
Seoul St. Mary's Hospital
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Target Duration
- 1 Day
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Assistant Professor
Study Record Dates
First Submitted
May 7, 2024
First Posted
May 14, 2024
Study Start
December 7, 2021
Primary Completion
September 30, 2024
Study Completion
September 30, 2024
Last Updated
May 14, 2024
Record last verified: 2024-05
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL
- Time Frame
- Starting 6 months after publication
- Access Criteria
- Receive the data request via the registered email, verify the identity (for example, Relevant researcher), and provide the data.
Provide clinical metrics and PAF signals for individual participant data.