Can Contrast-Enhanced Spectral Mammography Improve the Accuracy of a Diagnosis
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ClinicalTrials.gov Identifier: NCT03929822 |
Recruitment Status :
Terminated
(Lack of accrual)
First Posted : April 29, 2019
Last Update Posted : January 20, 2023
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Condition or disease | Intervention/treatment |
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Breast Screening | Diagnostic Test: Contrast-Enhanced Spectral Mammography |
Study Type : | Observational |
Actual Enrollment : | 32 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | Contrast-Enhanced Spectral Mammography: Potential to Improve Diagnostic Accuracy |
Actual Study Start Date : | April 23, 2019 |
Actual Primary Completion Date : | January 19, 2023 |
Actual Study Completion Date : | January 19, 2023 |
Group/Cohort | Intervention/treatment |
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Contrast-Enhanced Spectral Mammography (CESM)
Women called back from an abnormal screening mammogram/tomosynthesis exam will be offered CESM as part of their diagnostic work up. The radiologist will interpret the low energy images and record their findings.
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Diagnostic Test: Contrast-Enhanced Spectral Mammography
A standard dose of contrast material for other contrast mammography examinations and for body CT scanning, 1.5 ml/kg of Iohexol350 will be injected intravenously (IV) using a power injection (3-4 ml/s) with a maximum does of 150 ml. The IV injection is performed while the patient is in a sitting position. The mammogram will be performed in a standing position. |
- Diagnostic accuracy of CESM compared to mammography [ Time Frame: 2 years ]The radiologist will interpret the low energy images and record their findings.

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Ages Eligible for Study: | 30 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | Female |
Gender Based Eligibility: | Yes |
Gender Eligibility Description: | Women called back from a screening mammography by either FFDM or tomosynthesis with soft tissue abnormalities including masses, asymmetries, focal asymmetries or architectural distortion with or without calcifications. |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- Women called back from a screening mammography by either FFDM or tomosynthesis with soft tissue abnormalities including masses, asymmetries, focal asymmetries or architectural distortion with or without calcifications. Patients will be questioned regarding the possibility of pregnancy and will need a negative pregnancy test prior the study intervention.
Exclusion Criteria:
- Age <30 years old
- Screening mammography with only calcifications abnormalities
- Male patients
- Pregnant or lactating patients
- Patients with any allergy to iodinated contrast
- Patients with eGFR < 45
- Patients that may be treated with radioactive iodine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03929822
United States, New York | |
Memorial Sloan Kettering Cancer Center | |
New York, New York, United States, 10065 |
Principal Investigator: | Janice Sung, MD | Memorial Sloan Kettering Cancer Center |
Responsible Party: | Memorial Sloan Kettering Cancer Center |
ClinicalTrials.gov Identifier: | NCT03929822 |
Other Study ID Numbers: |
19-116 |
First Posted: | April 29, 2019 Key Record Dates |
Last Update Posted: | January 20, 2023 |
Last Verified: | January 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Memorial Sloan Kettering Cancer Center supports the international committee of medical journal editors (ICMJE) and the ethical obligation of responsible sharing of data from clinical trials. The protocol summary, a statistical summary, and informed consent form will be made available on clinicaltrials.gov when required as a condition of Federal awards, other agreements supporting the research and/or as otherwise required. Requests for deidentified individual participant data can be made beginning 12 months after publication and for up to 36 months post publication. Deidentified individual participant data reported in the manuscript will be shared under the terms of a Data Use Agreement and may only be used for approved proposals. Requests may be made to: crdatashare@mskcc.org. |
Supporting Materials: |
Statistical Analysis Plan (SAP) Informed Consent Form (ICF) |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | Yes |
Mammography Contrast-Enhanced Spectral Mammography 19-116 |