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Innovation in Mammography: Tomosynthesis Pathways

Not Applicable
Conditions
Breast Cancer
Interventions
Diagnostic Test: 2D mammography
Diagnostic Test: Tomosynthesis
Registration Number
NCT03587259
Lead Sponsor
Cancer Prevention and Research Institute, Italy
Brief Summary

The study aims at evaluating the introduction of tomosynthesis in mammography screening, analyzing the benefits, disadvantages and feasibility in current clinical practice.

It involves women aged 45-46 that will be divided, by drawing lots, into two groups: one group will do the 2D digital mammography (control group), while the other group (intervention group) will do tomosynthesis. In the intervention group the 2D two-dimensional mammography will be reconstructed starting from tomosynthesis without exposing women to other radiation.

Detailed Description

The IMPETO trial is a population-based, multicentre, randomised trial aimed at evaluating the clinical accuracy of Digital Breast Tomosynthesis (DBT) in adjunct to synthetic mammograms (sDM) compared to standard two-dimensional digital mammography alone (2D) in a screening programme.

45-46 year-old women resident in the screening centre catchment area of Florence and South-Est Local Health Unit are invited to attend for mammography screening and asked for informed consent to be included in the study. Women are then randomly allocated either to an usual care group (2D mammography) or to the intervention group. In the intervention group, DBT combined with sDM is proposed in order to reduce radiation exposure. The next year women of both groups will be invited to attend the usual screening examination (2D mammography). The enrolment will last 12-18 months; the whole study 36 months. The estimated sample size is 6000 women, 3000 per arm. Data will be pooled with the trial "Screening for Breast Cancer With Digital Breast Tomosynthesis", ClinicalTrials.gov Identifier: NCT02698202.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
6000
Inclusion Criteria
  • 45-46 years old women resident in the screening area
Exclusion Criteria
  • previous breast cancer
  • written refusal to participate in the screening programme
  • pregnancy, breastfeeding
  • presence of prostheses;
  • ongoing chemotherapy;
  • impossibility to submit the informed consent for linguistic problems or for inability of women to provide informed consent;
  • verified presence of BRCA1 - BRCA2 (Breast Related Cancer Antigens 1 - Breast Related Cancer Antigens 2) genetic mutation or involvement in surveillance path for heredo-familial tumor;
  • previous known tomosynthesis.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2D mammography2D mammography45-46 years old women are invited to attend the usual screening examination (2D mammography). The next year they will be invited to make a 2D mammography, according to screening protocol.
TomosynthesisTomosynthesis45-46 years old women are invited to attend the Digital Breast Tomosynthesis (DBT) in adjunct to synthetic mammograms (sDM). The next year they will be invited to make a 2D mammography, according to screening protocol.
Primary Outcome Measures
NameTimeMethod
the cumulative incidence of advanced screen-detected cancers (T2 +) and the cumulative incidence of advanced interval cancers (T2 +)three years

number of T2+ screen-detected cancers divided by all screened women at subsequent round of screening and number of T2+ interval cancers divided by all screened women at subsequent round of screening.

Secondary Outcome Measures
NameTimeMethod
benign biopsies ratetwo years

number of benign biopsies divided by the total number of biopsies

detection ratetwo years

number of breast cancer cases (invasive and in situ forms) divided by the number of screened women (per 1,000)

cost analysistwo years

an activity based cost analysis will be performed in order to obtain the real costs of DBT screening pathway.

recall ratetwo years

number of women recalled to perform 2nd level assessments) for invasive tests and for non-invasive examinations in the two arms divided by the number of screened women

Trial Locations

Locations (2)

Oncological Network, Prevention and Research Institute

🇮🇹

Florence, Italy

South-Est Local Health Unit

🇮🇹

Arezzo, Italy

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