TOBE: The Digital Breast Tomosynthesis Trial in Bergen
Study Details
Study Description
Brief Summary
Compare synthetic mammography+digital breast tomosynthesis (SM+DBT) with digital mammography (DM) as a screening tool for women aged 50-69 years, invited to participate in the Norwegian Breast Cancer Screening Program at the screening unit in Bergen, Norway, with regard to early performance measures, including prognostic and predictive tumor characteristics, radiation doses and cost-effectiveness.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
DBT is a new screening tool, argued to be better than standard DM. This statement is based on a lower recall rate, and a higher rate of early-stage screen-detected cancer. No studies have so far reported results from women screened with DBT from GE Healthcare, as far as the investigators know. DBT from GE offer synthetic two-dimensional DM generated from the DBT data (SM), and studies have shown similar detection rates for this technique as of adjacent DM. By comparing results of early performance measures and economic aspects in two comparable populations of women in the same age group, residing in the same county, the investigators can measure the effect of SM+DBT versus standard DM with equipment from GE Healthcare. The populations will be examined by the same radiographers, screen-read by the same radiologists, histologically breast cancer proven by the same pathologists, and treated by the same surgeons and oncologists.
A prospective cohort study targeting 45,000 women invited to breast cancer screening in Bergen, Hordaland in the study period, 2016-2018, will be performed. A screening participation of approximately 75% is expected. All attending women will be asked if they are willing to participate in the study after receiving written and oral information about the study. Women willing to participate in the study will sign an informed consent. Of the attending women it is expected that about 90-95% will consent to participate in the study. The women will be randomized into two groups, a study group and a control group. The randomization will take place at the screening unit in Bergen. The outcome of the randomization is based on the 11-digit personal identification number assigned to every citizen in Norway. In the study group, the women will be screened with SM+DBT. In the control group, the women will be screened with DM. Women not willing to participate in the study will be screened with DM, and not included in our study.
The investigators aim to address the following topics and research questions:
-
Study 1: Early performance measures in a population based screening program using SM+DBT versus DM - interim analyses.
-
Study 2: Use of SM+DBT versus DM in a population based screening program - a randomized controlled trial.
-
Study 3: Prognostic and predictive histopathologic characteristics of breast tumors detected in a population based program using SM+DBT versus DM.
-
Study 4: SM+DBT and DM in a populations based screening program - which technology has the highest sensitivity for women with mammographic dense breast?
-
Study 5 and 6: Costs of SM+DBT and DM in a populations based screening program - is SM+DBT cost-effective?
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Digital Breast Tomosynthesis Synthetic Mammography (SM) + Digital Breast Tomosynthesis (DBT) The SM+DBT will be independently read by two radiologists. A consensus meeting will decide whether to recall the woman or not. Women selected for further assessment (positive screening exam) will be recalled. |
Radiation: Synthetic Mammography + Digital Breast Tomosynthesis
Two-view tomosynthesis performed with GE Senoclaire 3D Breast Tomosynthesis.
Other Names:
|
Active Comparator: Digital mammography The digital mammograms will be independently read by two radiologists. A consensus meeting will decide whether to recall the woman or not. |
Radiation: Digital mammography
Two-view digital mammography performed with GE Senoclaire 3D Breast Tomosynthesis.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Number of Participants With Screen-Detected Breast Cancer [36 months from start up of the trial]
Comparison of rates of screen-detected breast cancer in tomosynthesis versus digital mammography as performed in a population based screening program.
Secondary Outcome Measures
- Number and Percentage of Participants Screen-Detected Breast Cancer Among Participants Recalled for Further Assesment [36 months from start up of the trial]
Positive predictive value of recalls (number of screen-detected breast cancer among participants recalled for further assesment) for tomosynthesis versus digital mammography in a population based screening program.
- Number of Participants Recalled for Further Assesment Due to Mammographic Findings [36 months from start up of the trial]
Comparison of rate of recall for further assesment due to mammographic findings in tomosynthesis versus digital mammography as performed in a population based screening program.
- Incremental Costs of Screening With Tomosynthesis Versus Digital Mammography [36 months from start up of the trial]
The incremental cost per woman screened with digital breast tomosynthesis versus digital mammography in a population-based breast cancer screening program.
- Prognostic and Predictive Tumor Characteristics for Screen-Detected Breast Cancer [36 months from start up of the trial]
Distribution of characteristics among the women diagnosed with breast cancer screened with tomosynthesis versus digital mammography in a population based screening program.
- Number of Participants With Interval Breast Cancer [60 months from start up of the trial]
Rate of interval breast cancer among those screened with tomosynthesis versus digital mammography as performed in a population based screening program.
Other Outcome Measures
- Time Spent on Screen-Reading and Consensus Meetings [24 months from start up of the trial]
The time spent on screen-reading and consensus will be compared for tomosynthesis versus digital mammography
- Mammographic Features of Screen-Detected Breast Cancer [36 months from start up of the trial]
Distribution of characteristics among the women diagnosed with breast cancer screened with tomosynthesis versus digital mammography in a population based screening program.
- Radiation Doses When Screening With Tomosynthesis Versus Digital Mammography [24 months from start up of the trial]
Radiation doses will be measured for screening with tomosynthesis and digital mammography by an automated software, in milligray (mGy).
Eligibility Criteria
Criteria
Inclusion Criteria:
- Informed consent
Exclusion Criteria:
- Breast implants
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Haukeland University Hospital | Bergen | Hordaland | Norway | 0521 |
2 | Cancer Registry of Norway | Oslo | Norway | 0379 |
Sponsors and Collaborators
- Cancer Registry of Norway
- Haukeland University Hospital
- University of Oslo
- The Research Council of Norway
Investigators
- Principal Investigator: Solveig Hofvind, Professor, Cancer Registry of Norway
Study Documents (Full-Text)
More Information
Publications
- Bonafede MM, Kalra VB, Miller JD, Fajardo LL. Value analysis of digital breast tomosynthesis for breast cancer screening in a commercially-insured US population. Clinicoecon Outcomes Res. 2015 Jan 12;7:53-63. doi: 10.2147/CEOR.S76167. eCollection 2015.
- Ciatto S, Houssami N, Bernardi D, Caumo F, Pellegrini M, Brunelli S, Tuttobene P, Bricolo P, Fantò C, Valentini M, Montemezzi S, Macaskill P. Integration of 3D digital mammography with tomosynthesis for population breast-cancer screening (STORM): a prospective comparison study. Lancet Oncol. 2013 Jun;14(7):583-9. doi: 10.1016/S1470-2045(13)70134-7. Epub 2013 Apr 25.
- Destounis S, Arieno A, Morgan R. Initial experience with combination digital breast tomosynthesis plus full field digital mammography or full field digital mammography alone in the screening environment. J Clin Imaging Sci. 2014 Feb 25;4:9. doi: 10.4103/2156-7514.127838. eCollection 2014.
- Durand MA, Haas BM, Yao X, Geisel JL, Raghu M, Hooley RJ, Horvath LJ, Philpotts LE. Early clinical experience with digital breast tomosynthesis for screening mammography. Radiology. 2015 Jan;274(1):85-92. doi: 10.1148/radiol.14131319. Epub 2014 Sep 1.
- Friedewald SM, Rafferty EA, Rose SL, Durand MA, Plecha DM, Greenberg JS, Hayes MK, Copit DS, Carlson KL, Cink TM, Barke LD, Greer LN, Miller DP, Conant EF. Breast cancer screening using tomosynthesis in combination with digital mammography. JAMA. 2014 Jun 25;311(24):2499-507. doi: 10.1001/jama.2014.6095.
- Gilbert FJ, Tucker L, Gillan MG, Willsher P, Cooke J, Duncan KA, Michell MJ, Dobson HM, Lim YY, Suaris T, Astley SM, Morrish O, Young KC, Duffy SW. Accuracy of Digital Breast Tomosynthesis for Depicting Breast Cancer Subgroups in a UK Retrospective Reading Study (TOMMY Trial). Radiology. 2015 Dec;277(3):697-706. doi: 10.1148/radiol.2015142566. Epub 2015 Jul 15.
- Greenberg JS, Javitt MC, Katzen J, Michael S, Holland AE. Clinical performance metrics of 3D digital breast tomosynthesis compared with 2D digital mammography for breast cancer screening in community practice. AJR Am J Roentgenol. 2014 Sep;203(3):687-93. doi: 10.2214/AJR.14.12642. Epub 2014 Jun 11.
- Haas BM, Kalra V, Geisel J, Raghu M, Durand M, Philpotts LE. Comparison of tomosynthesis plus digital mammography and digital mammography alone for breast cancer screening. Radiology. 2013 Dec;269(3):694-700. doi: 10.1148/radiol.13130307. Epub 2013 Oct 28.
- Houssami N, Skaane P. Overview of the evidence on digital breast tomosynthesis in breast cancer detection. Breast. 2013 Apr;22(2):101-108. doi: 10.1016/j.breast.2013.01.017. Epub 2013 Feb 16. Review.
- Lång K, Andersson I, Rosso A, Tingberg A, Timberg P, Zackrisson S. Performance of one-view breast tomosynthesis as a stand-alone breast cancer screening modality: results from the Malmö Breast Tomosynthesis Screening Trial, a population-based study. Eur Radiol. 2016 Jan;26(1):184-90. doi: 10.1007/s00330-015-3803-3. Epub 2015 May 1.
- Lee CI, Cevik M, Alagoz O, Sprague BL, Tosteson AN, Miglioretti DL, Kerlikowske K, Stout NK, Jarvik JG, Ramsey SD, Lehman CD. Comparative effectiveness of combined digital mammography and tomosynthesis screening for women with dense breasts. Radiology. 2015 Mar;274(3):772-80. doi: 10.1148/radiol.14141237. Epub 2014 Oct 28.
- Lourenco AP, Barry-Brooks M, Baird GL, Tuttle A, Mainiero MB. Changes in recall type and patient treatment following implementation of screening digital breast tomosynthesis. Radiology. 2015 Feb;274(2):337-42. doi: 10.1148/radiol.14140317. Epub 2014 Sep 22.
- McCarthy AM, Kontos D, Synnestvedt M, Tan KS, Heitjan DF, Schnall M, Conant EF. Screening outcomes following implementation of digital breast tomosynthesis in a general-population screening program. J Natl Cancer Inst. 2014 Oct 13;106(11). pii: dju316. doi: 10.1093/jnci/dju316. Print 2014 Nov.
- Moger TA, Bjørnelv GM, Aas E. Expected 10-year treatment cost of breast cancer detected within and outside a public screening program in Norway. Eur J Health Econ. 2016 Jul;17(6):745-54. doi: 10.1007/s10198-015-0719-4. Epub 2015 Aug 4.
- Rose SL, Tidwell AL, Bujnoch LJ, Kushwaha AC, Nordmann AS, Sexton R Jr. Implementation of breast tomosynthesis in a routine screening practice: an observational study. AJR Am J Roentgenol. 2013 Jun;200(6):1401-8. doi: 10.2214/AJR.12.9672.
- Skaane P, Bandos AI, Eben EB, Jebsen IN, Krager M, Haakenaasen U, Ekseth U, Izadi M, Hofvind S, Gullien R. Two-view digital breast tomosynthesis screening with synthetically reconstructed projection images: comparison with digital breast tomosynthesis with full-field digital mammographic images. Radiology. 2014 Jun;271(3):655-63. doi: 10.1148/radiol.13131391. Epub 2014 Jan 24.
- Skaane P, Bandos AI, Gullien R, Eben EB, Ekseth U, Haakenaasen U, Izadi M, Jebsen IN, Jahr G, Krager M, Niklason LT, Hofvind S, Gur D. Comparison of digital mammography alone and digital mammography plus tomosynthesis in a population-based screening program. Radiology. 2013 Apr;267(1):47-56. doi: 10.1148/radiol.12121373. Epub 2013 Jan 7.
- Tingberg A, Zackrisson S. Digital mammography and tomosynthesis for breast cancer diagnosis. Expert Opin Med Diagn. 2011 Nov;5(6):517-26. doi: 10.1517/17530059.2011.616492. Epub 2011 Sep 6.
- Zuley ML, Guo B, Catullo VJ, Chough DM, Kelly AE, Lu AH, Rathfon GY, Lee Spangler M, Sumkin JH, Wallace LP, Bandos AI. Comparison of two-dimensional synthesized mammograms versus original digital mammograms alone and in combination with tomosynthesis images. Radiology. 2014 Jun;271(3):664-71. doi: 10.1148/radiol.13131530. Epub 2014 Jan 21.
- 247941/H10
Study Results
Participant Flow
Recruitment Details | Women were invited to participate when attending screening at the screening unit Danmarksplass in Bergen, Norway. The recruitment period lasted from January 14th 2016 to December 15th 2017. |
---|---|
Pre-assignment Detail | Women that attended screening but had breast implant were not invited to participate, and thus not randomized to either of the study groups. |
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography |
---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. |
Period Title: Overall Study | ||
STARTED | 14734 | 14719 |
COMPLETED | 14734 | 14719 |
NOT COMPLETED | 0 | 0 |
Baseline Characteristics
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography | Total |
---|---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. | Total of all reporting groups |
Overall Participants | 14380 | 14369 | 28749 |
Age, Customized (Count of Participants) | |||
<55 years |
3746
26.1%
|
3813
26.5%
|
7559
26.3%
|
55-59 years |
3628
25.2%
|
3668
25.5%
|
7296
25.4%
|
60-64 years |
3625
25.2%
|
3492
24.3%
|
7117
24.8%
|
>64 years |
3381
23.5%
|
3396
23.6%
|
6777
23.6%
|
Sex: Female, Male (Count of Participants) | |||
Female |
14380
100%
|
14369
100%
|
28749
100%
|
Male |
0
0%
|
0
0%
|
0
0%
|
Race and Ethnicity Not Collected (Count of Participants) | |||
Count of Participants [Participants] |
0
0%
|
||
Region of Enrollment (participants) [Number] | |||
Norway |
14380
100%
|
14369
100%
|
28749
100%
|
Screening history (Count of Participants) | |||
Prevalent (first screening) |
2013
14%
|
2053
14.3%
|
4066
14.1%
|
Subsequent |
12367
86%
|
12316
85.7%
|
24683
85.9%
|
Outcome Measures
Title | Number of Participants With Screen-Detected Breast Cancer |
---|---|
Description | Comparison of rates of screen-detected breast cancer in tomosynthesis versus digital mammography as performed in a population based screening program. |
Time Frame | 36 months from start up of the trial |
Outcome Measure Data
Analysis Population Description |
---|
[Not Specified] |
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography |
---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. |
Measure Participants | 14380 | 14369 |
Count of Participants [Participants] |
95
0.7%
|
87
0.6%
|
Title | Number and Percentage of Participants Screen-Detected Breast Cancer Among Participants Recalled for Further Assesment |
---|---|
Description | Positive predictive value of recalls (number of screen-detected breast cancer among participants recalled for further assesment) for tomosynthesis versus digital mammography in a population based screening program. |
Time Frame | 36 months from start up of the trial |
Outcome Measure Data
Analysis Population Description |
---|
[Not Specified] |
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography |
---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. |
Measure Participants | 444 | 571 |
Count of Participants [Participants] |
95
0.7%
|
87
0.6%
|
Title | Number of Participants Recalled for Further Assesment Due to Mammographic Findings |
---|---|
Description | Comparison of rate of recall for further assesment due to mammographic findings in tomosynthesis versus digital mammography as performed in a population based screening program. |
Time Frame | 36 months from start up of the trial |
Outcome Measure Data
Analysis Population Description |
---|
[Not Specified] |
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography |
---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. |
Measure Participants | 14380 | 14369 |
Count of Participants [Participants] |
444
3.1%
|
571
4%
|
Title | Incremental Costs of Screening With Tomosynthesis Versus Digital Mammography |
---|---|
Description | The incremental cost per woman screened with digital breast tomosynthesis versus digital mammography in a population-based breast cancer screening program. |
Time Frame | 36 months from start up of the trial |
Outcome Measure Data
Analysis Population Description |
---|
For each participant, the incremental cost of tomosynthesis vs. digital mammography were estimated, not the total cost of tomosynthesis vs. digital mammography. The investigators assumed that costs not pertaining to examination and reading times, mammograph price, IT storage and connectivity were equal for the two. This Outcome Measure was pre-specified to present the incremental costs per screened woman. By nature, incremental costs are calculated between groups. |
Arm/Group Title | Digital Breast Tomosynthesis Versus Digital Mammography |
---|---|
Arm/Group Description | Comparing costs of procedure use and screening, recall and treatment costs estimated at the individual level for Digital Breast Tomosynthesis + Synthetic Mammography (DBT) versus Digital Mammography (DM). |
Measure Participants | 29453 |
Incremental costs of DBT vs. DM in Euro |
8.5
|
Incremental cost of DBT vs. DM after adding costs of recall, in Euro |
6.2
|
Title | Prognostic and Predictive Tumor Characteristics for Screen-Detected Breast Cancer |
---|---|
Description | Distribution of characteristics among the women diagnosed with breast cancer screened with tomosynthesis versus digital mammography in a population based screening program. |
Time Frame | 36 months from start up of the trial |
Outcome Measure Data
Analysis Population Description |
---|
When collecting information on histopathological tumor characteristics, not all participants had information available on all variables. |
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography |
---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. |
Measure Participants | 80 | 71 |
Histological type : Carcinoma (no special type) |
62
0.4%
|
51
0.4%
|
Histological type : Lobular carcinoma |
6
0%
|
13
0.1%
|
Histological type : Tubular carcinoma |
2
0%
|
4
0%
|
Histological type : Other carcinoma |
10
0.1%
|
3
0%
|
Tumor diameter : <10 mm |
10
0.1%
|
18
0.1%
|
Tumor diameter : >=10-<20 mm |
43
0.3%
|
29
0.2%
|
Tumor diameter : >=20 mm |
17
0.1%
|
13
0.1%
|
Lymph node positive |
14
0.1%
|
18
0.1%
|
Histological grade : grade 1 |
22
0.2%
|
24
0.2%
|
Histological grade : grade 2 |
38
0.3%
|
35
0.2%
|
Histological grade : grade 3 |
16
0.1%
|
10
0.1%
|
Estrogen receptor positive |
71
0.5%
|
69
0.5%
|
Progesterone receptor positive |
61
0.4%
|
62
0.4%
|
HER2 positive |
8
0.1%
|
8
0.1%
|
Ki67 >=30% |
21
0.1%
|
13
0.1%
|
Title | Number of Participants With Interval Breast Cancer |
---|---|
Description | Rate of interval breast cancer among those screened with tomosynthesis versus digital mammography as performed in a population based screening program. |
Time Frame | 60 months from start up of the trial |
Outcome Measure Data
Analysis Population Description |
---|
[Not Specified] |
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography |
---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. |
Measure Participants | 14380 | 14369 |
Count of Participants [Participants] |
20
0.1%
|
29
0.2%
|
Title | Time Spent on Screen-Reading and Consensus Meetings |
---|---|
Description | The time spent on screen-reading and consensus will be compared for tomosynthesis versus digital mammography |
Time Frame | 24 months from start up of the trial |
Outcome Measure Data
Analysis Population Description |
---|
Interim analysis performed on study population from the first year of the trial (2016). All cases were screen-read by two radiologist, however not all were discussed at consensus. |
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography |
---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. |
Measure Participants | 7037 | 7052 |
Initial screen reading |
70.5
(54.4)
|
41.3
(49.6)
|
Consensus reading |
192.1
(118.1)
|
131.9
(79.2)
|
Title | Mammographic Features of Screen-Detected Breast Cancer |
---|---|
Description | Distribution of characteristics among the women diagnosed with breast cancer screened with tomosynthesis versus digital mammography in a population based screening program. |
Time Frame | 36 months from start up of the trial |
Outcome Measure Data
Analysis Population Description |
---|
[Not Specified] |
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography |
---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. |
Measure Participants | 95 | 87 |
Spiculated mass |
35
0.2%
|
16
0.1%
|
Indistinct mass |
16
0.1%
|
16
0.1%
|
Calcifications |
13
0.1%
|
20
0.1%
|
Architectural distortion |
10
0.1%
|
7
0%
|
Asymmetry |
7
0%
|
12
0.1%
|
Mass with calcifications |
7
0%
|
11
0.1%
|
Circumscribed mass |
5
0%
|
2
0%
|
Obscured mass |
1
0%
|
3
0%
|
Associated features |
1
0%
|
0
0%
|
Title | Radiation Doses When Screening With Tomosynthesis Versus Digital Mammography |
---|---|
Description | Radiation doses will be measured for screening with tomosynthesis and digital mammography by an automated software, in milligray (mGy). |
Time Frame | 24 months from start up of the trial |
Outcome Measure Data
Analysis Population Description |
---|
Interim analysis performed on study population from the first year of the trial (2016). Not all women had available information on radiation dose. |
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography |
---|---|---|
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. |
Measure Participants | 6957 | 6972 |
Mean (Standard Deviation) [mGy] |
2.96
(0.62)
|
2.95
(0.38)
|
Adverse Events
Time Frame | Participant were followed for two years after the recruitment period for the study ended (December 31st 2017) to collect data on adverse events. Reporting of adverse events are not yet complete as we rely on data from the Norwegian Cause of Death Registry. | |||
---|---|---|---|---|
Adverse Event Reporting Description | ||||
Arm/Group Title | Digital Breast Tomosynthesis | Digital Mammography | ||
Arm/Group Description | Digital Breast Tomosynthesis + Synthetic Mammography (DBT) The DBT was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital Breast Tomosynthesis + Synthetic Mammography: Two-view tomosynthesis performed with GE SenoClaire 3D Breast Tomosynthesis. | The digital mammograms was independently read by two radiologists. A consensus meeting decided whether to recall the woman or not. Women selected for further assessment (positive screening exam) was recalled. Digital mammography: Two-view digital mammography performed with GE SenoClaire 3D Breast Tomosynthesis. | ||
All Cause Mortality |
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Digital Breast Tomosynthesis | Digital Mammography | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 2/14734 (0%) | 2/14719 (0%) | ||
Serious Adverse Events |
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Digital Breast Tomosynthesis | Digital Mammography | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/14734 (0%) | 0/14719 (0%) | ||
Other (Not Including Serious) Adverse Events |
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Digital Breast Tomosynthesis | Digital Mammography | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/14734 (0%) | 0/14719 (0%) |
Limitations/Caveats
More Information
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Results Point of Contact
Name/Title | Prof. Solveig Hofvind |
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Organization | Cancer Registry of Norway |
Phone | +47 22928828 |
solveig.hofvind@kreftregisteret.no |
- 247941/H10