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Trial Title: Comparison of CE-DBT and MRI in Patients With Known Breast Lesions

NCT ID: NCT05754749

Condition: Breast Cancer

Study type: Interventional

Study phase: Early Phase 1

Overall status: Active, not recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Iohexol 350 Mg/mL Injectable Solution
Description: Participants will be scanned with the digital breast tomosynthesis (DBT) system before and after the intravenous administration of iodinated contrast agent, iohexol 350mg I/mL at a dose of 1.5 mL/kg body weight. Images will be acquired of the breast of interest prior to the administration of contrast, followed by at approximately 2 minutes and 5 minutes after administration. For the purposes of this study, imaging will focus on a single breast to simplify data acquisition.
Arm group label: Contrast-enhanced digital breast tomosynthesis (CE-DBT)

Other name: Contrast- enhanced digital breast tomosynthesis (CE-DBT)

Summary: The purpose of this pilot study is to compare radiologist confidence level in evaluating patients with known breast lesions between contrast enhanced digital breast tomosynthesis (CE- DBT) and contrast enhanced dynamic magnetic resonance imaging (CE-MRI) acquired as a part of a standard clinical workup.

Detailed description: This is a pilot study of CE-DBT scans to evaluate its utility relative to breast CE-MRI. Twenty women who have planned or received conventional breast MRI imaging at UNC Hospitals will be recruited for the study. Participants will be scanned with the DBT system after the administration of iodinated contrast agent. Images will be acquired prior to the administration of contrast, followed by at approximately 2 minutes and 5 minutes. For the purposes of this study, imaging will focus on a single breast to simplify data acquisition.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Women at least 18 years old - Planned or received conventional breast MRI at UNC Hospitals within 3 months prior to or after the research scan - Suspected breast lesion based on prior imaging (BIRADS 4 or greater) - Able to provide written informed consent Exclusion Criteria: - Severe untreatable claustrophobia - Implanted metallic devices, parts, vascular clips, or other foreign bodies (including breast implants) - Known hypersensitivity to iodinated contrast agent or to any component of iodinated contrast refractory to standard medications (antihistamines, steroids) - Impaired kidney function (serum creatinine level > 1.8 mg/dl or a glomerular filtration rate < 60 as approximated using serum creatinine levels within the last 30 days prior to the research scan) unless anuric and on dialysis - Any woman who is pregnant or has reason to believe she is pregnant (the possibility of pregnancy has to be excluded by negative urine β-HCG results, obtained within 24 hours prior to the research scan, or on the basis of patient history, as defined by the UNC IRB SOP 4801)

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University of North Carolina at Chapel Hill

Address:
City: Chapel Hill
Zip: 27599
Country: United States

Start date: March 13, 2023

Completion date: August 22, 2025

Lead sponsor:
Agency: UNC Lineberger Comprehensive Cancer Center
Agency class: Other

Source: UNC Lineberger Comprehensive Cancer Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05754749

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