Comparison of Contrast Enhanced Mammography to Breast MRI in Screening Patients at Increased Risk for Breast Cancer
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Women at Increased Risk for Developing Breast Carcinoma
- Sponsor
- Memorial Sloan Kettering Cancer Center
- Enrollment
- 1000
- Locations
- 1
- Primary Endpoint
- compare the sensitivity and specificity CESM
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to determine if Contrast Enhanced Spectral Mammography (CESM) will be able to detect smaller/earlier breast cancers as well as breast MRI can.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Women considered at increased risk for developing breast carcinoma (those with a lifetime risk of \>15%due to family history, genetic predisposition, prior radiation therapy to the chest, prior biopsy showing a high risk lesion, or personal history of breast cancer) that are being screened with breast MRI.
- •Women who have a screening digital mammogram on the day of CESM or within 365 days prior
Exclusion Criteria
- •Women under
- •Pregnant or possibly pregnant.
- •Women who have a contraindication to the intravenous use of iodinated - contrast agent (i.e., allergy to iodinated contrastor severely impaired renal function with a creatinine level \> or = to 1.3).
- •Women with breast implants.
- •Women with pacemakers.
- •Women with aneurysm clips that don't allow for MRI.
- •Women too claustrophobic to undergo MRI.
Outcomes
Primary Outcomes
compare the sensitivity and specificity CESM
Time Frame: 1 year
CESM to that of breast MRI in a population of women who are being screened because they are at increased risk for developing breast cancer. For this purpose a positive CESM test will be defined as a score of 4 or 5. We will use the existing MRI BIRADS system to score CESM images based on the characteristics of individual lesions and increased enhancement compared to the background. A positive MRI test will be defined by a BIRADs score of 4 or 5.