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Trial Title: Diagnostic Performance of Breast Cancer Screening Second Reading Process Assisted by AI

NCT ID: NCT05800132

Condition: Breast Cancer

Conditions: Official terms:
Breast Neoplasms

Conditions: Keywords:
artificial intelligence
breast cancer screening
second reading

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Crossover Assignment

Primary purpose: Screening

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: MammoScreen
Description: Diagnostic reading aid for breast cancer screening
Arm group label: L2-AI - AI-assisted second read

Summary: The goal of this clinical trial is to compare, for the second reading of screening mammograms, the standard of care with an AI assisted scenario. The main questions it aims to answer are: - will the experimental pathway be non-inferior to the standard pathway? - will the experimental pathway be economically superior to the standard pathway? Participants will receive screening mammograms, as part of the breast cancer screening program. Researchers will compare the interpretation made by the second reader in the standard pathway with the AI assisted interpretation made by a different reader in the experimental pathway.

Detailed description: All mammograms eligible for a second reading, and included in the study, go through 2 arms: - Conventional second reading by a radiologist accredited to do second reading in France (L2 control arm), - Second reading assisted by the AI (L2-AI experimental arm): mammograms will be read by the AI first and only if deemed suspicious, a radiologist accredited to do second reading in France will review them. The most pejorative assessment among the two arms is used as the final decision: if both arms consider the mammogram as negative, the participant won't be recalled, if one arm consider the mammogram as positive, the participant will be called back for further examinations. Clinical performances and economical impacts of both scenarii will be compared.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Affiliated to the French social security system - Whose mammograms meet the following characteristics: 4 (2 per breast, CC and MLO) meeting local regulatory standards and with correct DICOM metadata, - Whose mammograms have been determined to be normal or to have benign lesions by the radiologist who performed the first reading of the images (L1) in the framework of the organized breast cancer screening program - Having expressed her willingness to participate in the study, to undergo all the procedures and to make herself available for the expected duration of their participation, - Having completed and signed the informed consent form. Exclusion Criteria: - Woman with breast implants, - With clinical symptoms of breast cancer, - With a history of breast surgery (breast reduction or surgery for benign lesion), - Pregnant or breastfeeding, - With medical conditions that may interfere with her ability to understand the requirements of the protocol or give informed consent, - Deprived of liberty by judicial or administrative order, - Participant whose mammogram images have at least one of the following defects: poor quality of the images, non-standard mammography (projection, magnification, compression), ML/LM/SIO/XCCL or XCCM view.

Gender: Female

Minimum age: 50 Years

Maximum age: 74 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Centre de radiologie Les Défensions

Address:
City: Aubagne
Country: France

Status: Recruiting

Contact:
Last name: Francoise LECRIVAIN

Facility:
Name: Var Imagerie Medicale

Address:
City: Draguignan
Country: France

Status: Recruiting

Contact:
Last name: Laurent SIMONI

Facility:
Name: VAR IMAGERIE MEDICALE - Centre d'Imagerie Médicale Le Clipper

Address:
City: Fréjus
Country: France

Status: Recruiting

Contact:
Last name: Marie-Eve BAQUE

Facility:
Name: VAR IMAGERIE MEDICALE - Clinique Les Lauriers

Address:
City: Fréjus
Country: France

Status: Recruiting

Contact:
Last name: Laurent CAUDMONT

Facility:
Name: Cabinet de Radiologie du Cabot

Address:
City: Marseille
Country: France

Status: Completed

Facility:
Name: Centre de Sénologie Mermoz

Address:
City: Marseille
Country: France

Status: Recruiting

Contact:
Last name: Aurelie JALAGUIER

Facility:
Name: VAR IMAGERIE MEDICALE - Centre d'Imagerie Médicale Epsilon

Address:
City: Saint-Raphaël
Country: France

Status: Recruiting

Contact:
Last name: Margaux POIRIER

Start date: June 1, 2023

Completion date: September 2027

Lead sponsor:
Agency: Therapixel
Agency class: Industry

Source: Therapixel

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05800132

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