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Frequency Domain Optical Imaging

Primary Purpose

Breast Cancer

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
MR-guided Near Infrared optical tomography
Sponsored by
Dartmouth-Hitchcock Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Breast Cancer

Eligibility Criteria

20 Years - undefined (Adult, Older Adult)FemaleAccepts Healthy Volunteers

HEALTHY VOLUNTEERS

Inclusion Criteria:

  1. Female, ≥20 years old
  2. Breast size and epithelial integrity adequate to allow NIR imaging exams.
  3. Ability to provide written informed consent
  4. No serious associated psychiatric illnesses.

Exclusion Criteria:

  1. Absolute or relative contraindication to MRI:

    1. the presence of an electronic implant, such as a pacemaker
    2. the presence of a metal implant, such as an aneurysm clip
    3. claustrophobia
    4. the presence of other contraindication(s), as determined by the MRI technologists and radiologists.
  2. Pregnancy

WOMEN WITH BREAST ABNORMALITIES

Inclusion:

  1. Female, ≥ 20 years old.
  2. Breast size and epithelial integrity adequate to allow NIR imaging exams.
  3. Ability to provide written informed consent.
  4. No serious associated psychiatric illnesses.
  5. A recent screening mammogram that questions the presence of an abnormality, thus requiring further mammographic examination.

Exclusion:

  1. Absolute or relative contraindication to MRI:

    1. the presence of an electronic implant, such as a pacemaker
    2. the presence of a metal implant, such as an aneurysm clip
    3. claustrophobia
    4. the presence of other contraindication(s), as determined by the MRI technologists and radiologists.
  2. Pregnancy
  3. A history of allergy to iodides
  4. A GFR < 30 ml/min as determined by blood test on the day of NIR/MR imaging, or from lab results within 3 months of NIR/MR imaging.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Other

    Arm Label

    MR-guided NIR

    Arm Description

    Women with breast abnormalities will undergo an "optical exam" (NIR) in combination with MRI where the NIR light imaging system illuminates the breast from multiple positions covering the area of interest. A total of 60 women will be evaluated: 20 with breast abnormalities receiving gadolinium (Gd) contrast enhancement, 20 with breast abnormalities receiving both Gd-contrast enhancement and indocyanine green (ICG) contrast enhancement, and 20 healthy volunteers not receiving any contrast agents.

    Outcomes

    Primary Outcome Measures

    Compare spatial localization and contrast images of breast abnormalities from MR-guided NIR absorption and fluorescence tomography to NIR absorption and fluorescence tomography alone
    Women will participate in MR-guided NIR exams which include both MR and optical contrast agents. These imaging outcomes will be compared to exams where only the MR contrast agent is used as well as to exams where no contrast agents are administered.

    Secondary Outcome Measures

    Full Information

    First Posted
    February 16, 2022
    Last Updated
    May 15, 2023
    Sponsor
    Dartmouth-Hitchcock Medical Center
    Collaborators
    Dartmouth College
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05246735
    Brief Title
    Frequency Domain Optical Imaging
    Official Title
    Frequency Domain Optical Imaging of Breast Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2023
    Overall Recruitment Status
    Completed
    Study Start Date
    February 1, 2004 (Actual)
    Primary Completion Date
    June 24, 2022 (Actual)
    Study Completion Date
    June 24, 2022 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Dartmouth-Hitchcock Medical Center
    Collaborators
    Dartmouth College

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This purpose of this clinical study to develop and test technology associated with near infrared (NIR) optical tomography of the breast (the use of light at NIR wavelengths to image the breast) as an adjunct to mammography and breast MRI.
    Detailed Description
    The purpose of this clinical study is to demonstrate the feasibility of NIR absorption and fluorescence imaging of the female breast when the method is guided by breast MRI. The hypotheses to be tested are: MR-guided NIR absorption and fluorescence imaging of the breast is feasible in the setting of a clinical breast exam MR-guided NIR absorption and fluorescence imaging of the breast provides spatial localization and contrast of a breast abnormality that is superior to NIR absorption and fluorescence tomography alone.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Breast Cancer

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Model Description
    This is a clinical study to evaluate MR-guided near infrared absorption and fluorescence imaging
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    30 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    MR-guided NIR
    Arm Type
    Other
    Arm Description
    Women with breast abnormalities will undergo an "optical exam" (NIR) in combination with MRI where the NIR light imaging system illuminates the breast from multiple positions covering the area of interest. A total of 60 women will be evaluated: 20 with breast abnormalities receiving gadolinium (Gd) contrast enhancement, 20 with breast abnormalities receiving both Gd-contrast enhancement and indocyanine green (ICG) contrast enhancement, and 20 healthy volunteers not receiving any contrast agents.
    Intervention Type
    Diagnostic Test
    Intervention Name(s)
    MR-guided Near Infrared optical tomography
    Primary Outcome Measure Information:
    Title
    Compare spatial localization and contrast images of breast abnormalities from MR-guided NIR absorption and fluorescence tomography to NIR absorption and fluorescence tomography alone
    Description
    Women will participate in MR-guided NIR exams which include both MR and optical contrast agents. These imaging outcomes will be compared to exams where only the MR contrast agent is used as well as to exams where no contrast agents are administered.
    Time Frame
    During imaging and evaluation by a radiologist or medical technologist, up to 90 minute

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    20 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    HEALTHY VOLUNTEERS Inclusion Criteria: Female, ≥20 years old Breast size and epithelial integrity adequate to allow NIR imaging exams. Ability to provide written informed consent No serious associated psychiatric illnesses. Exclusion Criteria: Absolute or relative contraindication to MRI: the presence of an electronic implant, such as a pacemaker the presence of a metal implant, such as an aneurysm clip claustrophobia the presence of other contraindication(s), as determined by the MRI technologists and radiologists. Pregnancy WOMEN WITH BREAST ABNORMALITIES Inclusion: Female, ≥ 20 years old. Breast size and epithelial integrity adequate to allow NIR imaging exams. Ability to provide written informed consent. No serious associated psychiatric illnesses. A recent screening mammogram that questions the presence of an abnormality, thus requiring further mammographic examination. Exclusion: Absolute or relative contraindication to MRI: the presence of an electronic implant, such as a pacemaker the presence of a metal implant, such as an aneurysm clip claustrophobia the presence of other contraindication(s), as determined by the MRI technologists and radiologists. Pregnancy A history of allergy to iodides A GFR < 30 ml/min as determined by blood test on the day of NIR/MR imaging, or from lab results within 3 months of NIR/MR imaging.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Keith D Paulsen, PhD
    Organizational Affiliation
    Dartmouth College
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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