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A Study Comparing ex Vivo MRI Versus Radiography of Breast Specimens

Primary Purpose

Breast Cancer

Status
Unknown status
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
radiography
MRI (magnetic resonance imaging)
Sponsored by
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Breast Cancer focused on measuring breast cancer, MRI, mammography, microcalcifications, Local staging of breast microcalcifications, Evaluation of ex vivo MRI for breast malignancies detected by MRI only

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Women with malignant breast disease identified by microcalcifications without clinically evident disease
  • Women candidate to breast preserving surgery

Exclusion Criteria:

  • Cardiac pacemaker, defibrillators, cardiac monitors
  • Brain stimulators, implantable spinal stimulators
  • Vascular and aneurismal clips
  • Hemostatic clips
  • Infusion pumps
  • Glaucoma drainage implants
  • Metallic foreign body positioned in vital organ of the patients
  • Some heart valves
  • Some vascular access ports, infusion pumps and catheters
  • Permanent contraceptive tubal device
  • Kidney disease

Sites / Locations

  • Fondazione IRCCS Istituto Nazionale dei Tumori

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

radiography

MRI (magnetic resonance imaging)

Arm Description

Arm1: patients undergo mammographic localizations and radiography of the specimen after surgical resection.

Arm2: patients undergo MRI localization and ex vivo MRI after surgical resection.

Outcomes

Primary Outcome Measures

Diagnostic efficacy of Magnetic Resonance Imaging (MRI) versus radiography in evaluating tumor-free margins in breast cancer specimens
Diagnostic efficacy will be evaluated by statistical analysis

Secondary Outcome Measures

Full Information

First Posted
May 24, 2013
Last Updated
June 4, 2013
Sponsor
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
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1. Study Identification

Unique Protocol Identification Number
NCT01869335
Brief Title
A Study Comparing ex Vivo MRI Versus Radiography of Breast Specimens
Official Title
A Randomized Study Comparing ex Vivo MRI Versus Radiography of Breast Specimens in Evaluating Tumor-free Margins After Surgical Resection of Breast Microcalcifications
Study Type
Interventional

2. Study Status

Record Verification Date
May 2013
Overall Recruitment Status
Unknown status
Study Start Date
May 2013 (undefined)
Primary Completion Date
December 2014 (Anticipated)
Study Completion Date
May 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Radiography of breast specimens is currently the only radiological procedure used to verify removal of microcalcifications and presence of tumor-free margins after breast surgical resection. Ex vivo MRI will be tested for its ability to detect residual tumor tissue not detected by radiography in resected breast tumor specimens and/or its ability to verify tumor-free margins in breast cancer detected by MRI only.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
breast cancer, MRI, mammography, microcalcifications, Local staging of breast microcalcifications, Evaluation of ex vivo MRI for breast malignancies detected by MRI only

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
260 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
radiography
Arm Type
Active Comparator
Arm Description
Arm1: patients undergo mammographic localizations and radiography of the specimen after surgical resection.
Arm Title
MRI (magnetic resonance imaging)
Arm Type
Active Comparator
Arm Description
Arm2: patients undergo MRI localization and ex vivo MRI after surgical resection.
Intervention Type
Device
Intervention Name(s)
radiography
Intervention Type
Device
Intervention Name(s)
MRI (magnetic resonance imaging)
Primary Outcome Measure Information:
Title
Diagnostic efficacy of Magnetic Resonance Imaging (MRI) versus radiography in evaluating tumor-free margins in breast cancer specimens
Description
Diagnostic efficacy will be evaluated by statistical analysis
Time Frame
2 years

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Women with malignant breast disease identified by microcalcifications without clinically evident disease Women candidate to breast preserving surgery Exclusion Criteria: Cardiac pacemaker, defibrillators, cardiac monitors Brain stimulators, implantable spinal stimulators Vascular and aneurismal clips Hemostatic clips Infusion pumps Glaucoma drainage implants Metallic foreign body positioned in vital organ of the patients Some heart valves Some vascular access ports, infusion pumps and catheters Permanent contraceptive tubal device Kidney disease
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Roberto Agresti, MD
Phone
+39 02 2390
Ext
2168
Email
roberto.agresti@istitutotumori.mi.it
Facility Information:
Facility Name
Fondazione IRCCS Istituto Nazionale dei Tumori
City
Milan
ZIP/Postal Code
20133
Country
Italy
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Roberto Agresti, MD
Phone
+39 022390
Ext
2168
Email
roberto.agresti@istitutotumori.mi.it
First Name & Middle Initial & Last Name & Degree
Roberto Agresti, MD

12. IPD Sharing Statement

Citations:
PubMed Identifier
20652399
Citation
Elshof LE, Rutgers EJ, Deurloo EE, Loo CE, Wesseling J, Pengel KE, Gilhuijs KG. A practical approach to manage additional lesions at preoperative breast MRI in patients eligible for breast conserving therapy: results. Breast Cancer Res Treat. 2010 Dec;124(3):707-15. doi: 10.1007/s10549-010-1064-z. Epub 2010 Jul 22.
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A Study Comparing ex Vivo MRI Versus Radiography of Breast Specimens

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