Ignite Creation Date:
2024-05-05 @ 4:40 PM
Last Modification Date:
2024-10-26 @ 9:23 AM
Study NCT ID:
NCT00291304
Status:
TERMINATED
Last Update Posted:
2024-06-14
First Post:
2006-02-13
Brief Title:
Magnetic Resonance Imaging MRI Correlation to Standard of Care Imaging and Pathology Correlation in Breast Carcinoma
Sponsor:
AHS Cancer Control Alberta
Organization:
AHS Cancer Control Alberta
Study Overview
Official Title:
Magnetic Resonance Imaging MRI Correlation to Standard of Care Imaging and Pathology Correlation in Breast Carcinoma
Status:
TERMINATED
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Magnetic Resonance Imaging MRI is a well known imaging tool for the investigation and diagnosis of breast cancer used in addition to breast mammograms and ultrasound Recent publications suggest that MRI may be the best test to use in women who have very dense breasts have a family history of breast cancer and have had breast cancer and were treated with breast saving measures MRI has been shown to be a better tool to show multiple breast cancer spots than mammography or ultrasound The radiologists and the radiology students will have the opportunity to review the MRI scans along with the breast ultrasound and mammography films and the pathology reports from the breast cancer surgery completed at the CCI This may enable them to learn how the various subtypes of breast cancer look on MRI The goal is 1 to gain good breast MRI expertise giving the Radiology residents a complete diagnostic program 2 to develop good MRI breast experience enabling the Cross Cancer Institute to be the centre of excellence for Breast MRI for northern Alberta
Detailed Description:
Background Information
In addition to the gold standard imaging of mammography and breast ultrasound magnetic resonance imaging MRI has become a well established investigational modality for the diagnosis and staging of breast cancer MRI demonstrates increased sensitivity and specificity relative to both mammography and breast ultrasound in the screening of women with an increased risk of breast cancer development ie familial history of disease and or genetic predisposition and those who have very dense breast tissue MRI has also proved to be very sensitive in the detection of multi-focal multi-centric breast lesions permitting the accurate staging of disease However despite this demonstrated efficacy the standardization of MRI studies from one Institution to another is often difficult as each Institution will have a standard breast protocol with sequences set in accordance to the manufacturer of the machine and the manner in which the breast examinations have been designed
At the Cross Cancer Institute CCI a breast MRI protocol based on the technical procedures recommended in the literature and personal scanning experience has been developed However due to the limited number of patients undergoing breast MRI examinations our current experience is limited relative to the level of expertise demonstrated in the interpretation of breast ultrasound and mammographic scans Fortunately we now have the opportunity to obtain MRI - pathology correlation as Dr Kelly Dabbs is performing on site breast cancer surgery at the CCI We propose to obtain an MRI examination of all consented patients prior to their surgical procedure The MRI results of each patient will then be compared to previous breast imaging mammography and breast ultrasound and histopathological specimens to determine the correlative accuracy of MRI with these techniques To assess whether the size grade and presence of lymphovascular invasion or associated ductal carcinoma in situ influence the accuracy of MR imaging all breast carcinoma subtypes will be included in this study
As a teaching hospital the CCI provides mammographic and breast ultrasound training to the Residents and the Diagnostic Radiology Program at the University of Alberta Although breast MRI should be part of this training program we currently do not have the necessary volume of breast MRI scans to provide Residents with adequate experience in this modality The establishment of a breast MRI protocol one which refers eligible CCI breast cancer patients for a pre-surgery MRI examination will promote the development of expertise in this area provide Residents with a comprehensive Breast program and keep the CCI at the leading edge of breast cancer care
Objectives
Primary Objective to assess how the MRI of the breast correlates to a standard of care which includes biopsy surgery breast ultrasound and mammography
Secondary Objective to assess how the MRI correlates to the breast cancer pathology collected at the CCI
Study Design
A research study is proposed with the above information in mind whereby Dr Kelly Dabbs refers consented surgical patients with known breast carcinoma for a pre-surgical breast MRI The MRI results will then be reviewed along with the mammograms and breast ultrasounds and then correlated to pathology findings The intent will be to correlate all of the various sub-types of breast carcinoma with MRI as well as to assess whether or not MRI demonstrates changes dependent upon the extent lymphovascular invasion the presence of associated ductal carcinoma in situ and the size cellular composition and grade of the cancer
Dr Dabbs will explain the study rational and give the patient a copy of Informed Consent and for those patients who are willing to undergo the procedure schedule a MRI at the CCI It is our aim to accrue 50 patients per year for two years for a total of 100 patients
Inclusion Exclusion Criteria
Inclusion criteria
Females 18 years of age
Females referred to Dr Kelly Dabbs for breast cancer surgery who have pathology positive for breast carcinoma any sub-type
Exclusion criteria
Pacemakers
Aneurysm clips
Cochlear implants
Epicardial pacemaker wires
Neural stimulators
Significant claustrophobia
Significant obesity that would not enable the patient to fit in the scanner
Pregnancy or breastfeeding
Recruitment
Surgical patients referred by Dr Kelly Dabbs will undergo a pre-surgical MRI examination providing they meet the study eligibility criteria
Statistical analysis
NAP
Stopping Rules
The study will end once the first 100 subjects enrolled have undergone their MRI breast scan
Data Safety Monitoring Committee
NAP
In addition to the gold standard imaging of mammography and breast ultrasound magnetic resonance imaging MRI has become a well established investigational modality for the diagnosis and staging of breast cancer MRI demonstrates increased sensitivity and specificity relative to both mammography and breast ultrasound in the screening of women with an increased risk of breast cancer development ie familial history of disease and or genetic predisposition and those who have very dense breast tissue MRI has also proved to be very sensitive in the detection of multi-focal multi-centric breast lesions permitting the accurate staging of disease However despite this demonstrated efficacy the standardization of MRI studies from one Institution to another is often difficult as each Institution will have a standard breast protocol with sequences set in accordance to the manufacturer of the machine and the manner in which the breast examinations have been designed
At the Cross Cancer Institute CCI a breast MRI protocol based on the technical procedures recommended in the literature and personal scanning experience has been developed However due to the limited number of patients undergoing breast MRI examinations our current experience is limited relative to the level of expertise demonstrated in the interpretation of breast ultrasound and mammographic scans Fortunately we now have the opportunity to obtain MRI - pathology correlation as Dr Kelly Dabbs is performing on site breast cancer surgery at the CCI We propose to obtain an MRI examination of all consented patients prior to their surgical procedure The MRI results of each patient will then be compared to previous breast imaging mammography and breast ultrasound and histopathological specimens to determine the correlative accuracy of MRI with these techniques To assess whether the size grade and presence of lymphovascular invasion or associated ductal carcinoma in situ influence the accuracy of MR imaging all breast carcinoma subtypes will be included in this study
As a teaching hospital the CCI provides mammographic and breast ultrasound training to the Residents and the Diagnostic Radiology Program at the University of Alberta Although breast MRI should be part of this training program we currently do not have the necessary volume of breast MRI scans to provide Residents with adequate experience in this modality The establishment of a breast MRI protocol one which refers eligible CCI breast cancer patients for a pre-surgery MRI examination will promote the development of expertise in this area provide Residents with a comprehensive Breast program and keep the CCI at the leading edge of breast cancer care
Objectives
Primary Objective to assess how the MRI of the breast correlates to a standard of care which includes biopsy surgery breast ultrasound and mammography
Secondary Objective to assess how the MRI correlates to the breast cancer pathology collected at the CCI
Study Design
A research study is proposed with the above information in mind whereby Dr Kelly Dabbs refers consented surgical patients with known breast carcinoma for a pre-surgical breast MRI The MRI results will then be reviewed along with the mammograms and breast ultrasounds and then correlated to pathology findings The intent will be to correlate all of the various sub-types of breast carcinoma with MRI as well as to assess whether or not MRI demonstrates changes dependent upon the extent lymphovascular invasion the presence of associated ductal carcinoma in situ and the size cellular composition and grade of the cancer
Dr Dabbs will explain the study rational and give the patient a copy of Informed Consent and for those patients who are willing to undergo the procedure schedule a MRI at the CCI It is our aim to accrue 50 patients per year for two years for a total of 100 patients
Inclusion Exclusion Criteria
Inclusion criteria
Females 18 years of age
Females referred to Dr Kelly Dabbs for breast cancer surgery who have pathology positive for breast carcinoma any sub-type
Exclusion criteria
Pacemakers
Aneurysm clips
Cochlear implants
Epicardial pacemaker wires
Neural stimulators
Significant claustrophobia
Significant obesity that would not enable the patient to fit in the scanner
Pregnancy or breastfeeding
Recruitment
Surgical patients referred by Dr Kelly Dabbs will undergo a pre-surgical MRI examination providing they meet the study eligibility criteria
Statistical analysis
NAP
Stopping Rules
The study will end once the first 100 subjects enrolled have undergone their MRI breast scan
Data Safety Monitoring Committee
NAP
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None