Chemotherapy Monitoring With Breast Computed Tomography (CT)
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Purpose
The purpose of this study is to determine if dedicated breast computed tomography can be used successfully to monitor tumor response in breast cancer patients undergoing neoadjuvant chemotherapy.
| Condition | Intervention |
|---|---|
|
Breast Cancer |
Device: Dedicated breast computed tomography imaging |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Breast Cancer Chemotherapy Monitoring With Dedicated Breast Computed Tomography |
- Tumor response [ Time Frame: Mid-treatment and post-treatment completion ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 10 |
| Study Start Date: | June 2009 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Treatment
Breast cancer patients undergoing hormonal therapy before surgery.
|
Device: Dedicated breast computed tomography imaging
Pre- and post-contrast enhancement acquisition of breast CT images of tumor-containing breast every two months.
Other Name: Koning CBCT,Cone Beam Breast CT
|
Detailed Description:
Before undergoing surgery to remove the tumor, it is common for breast cancer patients to first undergo chemotherapy or hormonal therapy. The main goal of the therapy is to reduce the size of the tumor before it is removed. Unfortunately, therapy response varies a lot between patients. The development of an effective therapy response monitoring method could reduce the time that a patient undergoes ineffectual therapy or unnecessary therapy after complete response.
Dedicated breast computed tomography (or breast CT), a new way of imaging the breast, has been introduced in the last few years. Breast CT is an x-ray exam that uses 3D imaging to show the breast in its real three dimensional shape. Combined with the use of special chemicals called iodine contrast enhancement, breast CT can provide images of both the anatomy and the blood flow in the breast. We propose to use breast CT to carefully monitor the response to therapy of breast cancer patients undergoing therapy before surgery.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
The target population for this study is women who will undergo pre-operative hormonal therapy for breast cancer before lumpectomy or mastectomy.
3.1 Eligibility Criteria
- All subjects will be women at least 18 years of age that will undergo standard or research pre-operative hormonal therapy for breast cancer before lumpectomy or mastectomy.
- Women who have undergone pre treatment breast MR imaging to verify that no additional findings are present.
3.2 Ineligibility Criteria
- Subject does not meet any of the inclusion criteria
- Women with suspected or confirmed pregnancy
- Women who have had bilateral mastectomy
- Women who are unable to remain in a prone position on the BCT system for the required amount of time
- Women who cannot give informed consent
- Women with metastasis
- Male subjects
- Women with implants
- Women with breast augmentation, except for unilateral augmentation done for prior mastectomy
- Women who are allergic to iodine
- Women with physical limitations such as, but not limited to: frozen shoulder, recent heart surgery, pace maker, neck problems or any other condition that would prohibit them from lying face down
- Women who have had problems or reactions to contrast, such as nausea/vomiting, itching, hives, B/P changes, respirator distress, cardiac arrest.
- Women with history of Diabetes, kidney disease, kidney surgery, dialysis, heart disease-such as Congestive Heart Failure, Multiple Myeloma, Sickle Cell Anemia, Lupus, Rheumatoid Arthritis or other Autoimmune disease, recent surgery, chemotherapy, dehydration, high use of NSAIDs such as Ibuprofen
Contacts and Locations| United States, Georgia | |
| Emory University Winship Cancer Institute | |
| Atlanta, Georgia, United States, 30322 | |
| Principal Investigator: | Ioannis Sechopoulos, PhD | Emory University |
More Information
No publications provided
| Responsible Party: | Ioannis Sechopoulos, Ph.D., Assistant Professor of Radiology and Imaging Sciences, Emory University |
| ClinicalTrials.gov Identifier: | NCT00808041 History of Changes |
| Other Study ID Numbers: | 12068, 1P50CA128301-01A1 |
| Study First Received: | December 12, 2008 |
| Last Updated: | April 2, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Emory University:
|
Neoadjuvant Treatment Therapy Response Breast Computed Tomography |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
ClinicalTrials.gov processed this record on May 16, 2013