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Multifunctional Magnetic Resonance Imaging in Predicting Breast Lesions in Women Undergoing Mastectomy for Breast Cancer

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified June 2009 by National Cancer Institute (NCI).
Recruitment status was:  Recruiting
Information provided by:
National Cancer Institute (NCI) Identifier:
First received: January 16, 2008
Last updated: August 23, 2013
Last verified: June 2009

RATIONALE: Diagnostic procedures, such as multifunctional magnetic resonance imaging, may help doctors learn the extent of disease and plan the best treatment.

PURPOSE: This clinical trial is studying how well multifunctional magnetic resonance imaging works in predicting breast lesions in women undergoing mastectomy for breast cancer.

Condition Intervention
Breast Cancer
Drug: gadolinium-chelate
Procedure: conventional surgery
Procedure: magnetic resonance imaging
Procedure: magnetic resonance spectroscopic imaging

Study Type: Interventional
Study Design: Primary Purpose: Diagnostic
Official Title: Using Magnetic Resonance Techniques to Improve the Characterisation and Localisation of Breast Cancer. A Pilot Observational Study Testing the Accuracy of Multifunctional Magnetic Resonance Techniques in Predicting the Presence, Distribution and Nature of Breast Lesions in Women With Known Breast Cancer

Resource links provided by NLM:

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Sensitivity of magnetic resonance (MR) techniques in detecting histopathologically-identified multifocal and multicentric lesions

Secondary Outcome Measures:
  • Closeness of agreement between MR techniques and histopathology in localizing satellite lesions relative to the index tumor
  • Assessment of distribution of satellite lesions in relation to index tumor
  • Correlation between histopathological characteristics and signal changes on multifunctional MR

Estimated Enrollment: 20
Study Start Date: November 2007
Estimated Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Detailed Description:


  • To determine the accuracy of multifunctional magnetic resonance (MR) in detecting, localizing, and characterizing satellite lesions in relation to an index breast tumor in order to improve definition of clinical target volume after local excision.

OUTLINE: Patients receive an injection of gadolinium chelate and undergo multifunctional magnetic resonance (MR) imaging, including dynamic contrast-enhanced MR, hydrogen-MR spectroscopy, and diffusion-weighted MRI, of the ipsilateral breast within 4 weeks before surgery. Patients undergo a mastectomy as planned. The resected specimen is photographed, and a histopathological analysis is performed consisting of the size and grade (if pre-invasive or invasive disease) of each satellite lesion, classification of benign satellite lesions, dimensions of each lesion, distance from the edge of the index tumor to the center of each satellite lesion, and the distance from the center of the surface of the nipple to the center of each lesion.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No


  • Biopsy-confirmed invasive ductal carcinoma of the breast
  • Unifocal disease as defined by clinical examination, mammography, and ultrasound
  • Patient must be proceeding to mastectomy
  • Hormone receptor status unknown
  • No T4d or multifocal disease (as defined on conventional imaging)
  • Index tumor ≤ 4 cm in diameter


  • Menopausal status not specified
  • Female
  • No claustrophobia
  • No cup size of DD or greater


  • No prior surgery to ipsilateral breast
  • No prior neoadjuvant chemotherapy
  • No prior ferromagnetic implants
  Contacts and Locations
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Please refer to this study by its identifier: NCT00602316

United Kingdom
Royal Marsden - Surrey Recruiting
Sutton, England, United Kingdom, SM2 5PT
Contact: Contact Person    44-208-661-3392   
Sponsors and Collaborators
Royal Marsden NHS Foundation Trust
OverallOfficial: Anna Kirby Royal Marsden NHS Foundation Trust
  More Information Identifier: NCT00602316     History of Changes
Other Study ID Numbers: CDR0000581176
Study First Received: January 16, 2008
Last Updated: August 23, 2013

Keywords provided by National Cancer Institute (NCI):
invasive ductal breast carcinoma
stage IA breast cancer
stage IB breast cancer
stage II breast cancer
stage IIIA breast cancer

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases processed this record on April 28, 2017