Positron Emission Mammography and Standard Mammography in Women With Dense Breast Tissue or Who Are at High Risk of Breast Cancer
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Purpose
RATIONALE: Screening tests may help doctors find cancer cells early and plan better treatment for breast cancer. It is not yet known whether positron emission mammography is more effective than standard mammography in finding breast tumors.
PURPOSE: This phase III trial is studying positron emission mammography to see how well it works compared with standard mammography in women with dense breast tissue or who are at high risk of breast cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Other: questionnaire administration Procedure: digital mammography Procedure: positron emission mammography |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Screening |
| Official Title: | Impact of Dedicated Breast PET Imaging vs. Conventional Two-View Digital Mammography on Recall Rates and Cancer Detection as a Screening Examination in Underserved Women |
- Frequency of recall from screening to evaluate a focal image abnormality on each study alone and in combination based on the Breast Imaging Assessment Reporting and Data System (BI-RADS) assessment [ Time Frame: 1 week ] [ Designated as safety issue: No ]
- Cancer detection rate for each study alone and in combination [ Time Frame: 1 month ] [ Designated as safety issue: No ]
- Estimated radiation dose to the breast with each study and in combination [ Time Frame: 1 month ] [ Designated as safety issue: No ]
- Incidence of positive studies requiring biopsy [ Time Frame: 1 month ] [ Designated as safety issue: No ]
- Patient satisfaction level as pertaining to comfort and pain for each study [ Time Frame: 1 month ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 260 |
| Study Start Date: | February 2009 |
| Estimated Study Completion Date: | January 2013 |
| Estimated Primary Completion Date: | July 2012 (Final data collection date for primary outcome measure) |
-
Other: questionnaire administration
OBJECTIVES:
- To install the breast PET system and to test and ensure its compliance with all regulatory agencies including the ACR and FDA.
- To measure and compare the number of call-backs for positron emission mammography (PEM) imaging and conventional mammography, and to calculate the number of true positive and false positive exams for mammograms and PEM imagining using pathologic results and yearly follow-up mammogram results (cancer detection rate) in women with dense breast tissue or at high risk for breast cancer.
- To measure and compare patient satisfaction for both conventional mammography and PEM in terms of comfort and pain.
- To measure and compare the cost effectiveness with conventional mammography vs PEM by examining cost, examination time, and radiologist reading time.
OUTLINE: Patients undergo a conventional two-view mammogram and positron emission mammography (PEM). Immediately following treatment, patients complete a questionnaire on their satisfaction with the standard mammogram and the PEM.
After completion of study treatment, patients are followed annually.
Eligibility| Ages Eligible for Study: | 35 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
DISEASE CHARACTERISTICS:
Scheduled to undergo screening mammogram at one of the Boston Medical Center-affiliated primary care clinics and meets 1 of the following criteria:
- Dense breast tissue
- At high-risk for breast cancer
- No history of breast cancer, palpable breast mass, abnormal nipple discharge, or other focal complaints warranting diagnostic mammogram
PATIENT CHARACTERISTICS:
Has 1 of the following racial or ethnic backgrounds based on the patient's country of birth or the mother and father's country of birth:
- Hispanic
- Haitian Creole
- African American
- Caucasian
PRIOR CONCURRENT THERAPY:
- None specified
Contacts and Locations| United States, Massachusetts | |
| Boston University Cancer Research Center | |
| Boston, Massachusetts, United States, 02118 | |
| Principal Investigator: | Gustavo Mercier, MD, PhD | Boston Medical Center |
More Information
Additional Information:
No publications provided
| Responsible Party: | Boston Medical Center |
| ClinicalTrials.gov Identifier: | NCT00896649 History of Changes |
| Other Study ID Numbers: | CDR0000640404, BUMC-H-27136, CDMRP #W81XWH-06-1-0309, 05063002, HRPO #A-13777.2 |
| Study First Received: | May 9, 2009 |
| Last Updated: | July 6, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Boston Medical Center:
|
breast cancer |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
ClinicalTrials.gov processed this record on May 22, 2013