Contrast-Enhanced MRI for the Characterization of Ductal Carcinoma in Situ (DCIS)
Study Details
Study Description
Brief Summary
RATIONALE: Diagnostic procedures, such as contrast-enhanced MRI, may help find and diagnose ductal carcinoma in situ.
PURPOSE: This study is to develop and refine magnetic resonance (MR) imaging methods for pre-operative staging of ductal carcinoma in situ, a pre-invasive form of breast cancer, and atypical ductal hyperplasia, a risk factor for developing cancer.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
OBJECTIVES:
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Compare the DCIS optimized MRI to the standard clinical MRI. Using a scale of 1-5 from poor to excellent, images will be assessed for conspicuity of DCIS and atypical ductal hyperplasia (ADH) lesions, agreement of disease extent with biopsy, and overall image quality (artifact level, uniformity of fat suppression, contrast to noise ratio and signal to noise ratio).
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Subjects with ADH, a benign condition that can also show enhancement on MRI, will be enrolled to explore the utility of the DCIS optimized MRI for distinguishing DCIS and ADH.
Study Design
Outcome Measures
Primary Outcome Measures
- Comparison of ductal carcinoma in situ (DCIS)-optimized MRI quality [1 month]
Conspicuity of DCIS lesion, agreement of disease extent with biopsy, and overall image quality will be used to determine the overall image quality for each MRI.
- Comparison of two DCIS-optimized MRIs for variability in enhancement levels for DCIS [1 month]
Conspicuity of DCIS lesion, agreement of disease extent with biopsy, and overall image quality will be used to determine the overall image variability for each MRI.
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
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Meets 1 of the following criteria:
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Patient at the University of California, San Francisco Breast Care Center meeting the following criteria:
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Biopsy proven ductal carcinoma in situ (DCIS) of the breast.
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Has undergone mammography within the past 60 days.
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ADH patients: over 18, no prior history of breast disease.
PATIENT CHARACTERISTICS:
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Not pregnant or nursing (or stopped nursing within the past 3 months)
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Negative pregnancy test
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No contraindication to MRI (e.g., implanted pacemaker, implanted ferromagnetic device, ferromagnetic aneurysm clip, severe claustrophobia, ocular metal fragments, or shrapnel injury)
PRIOR CONCURRENT THERAPY:
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More than 2 years since prior surgery to the ipsilateral breast (patient)
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No prior radiotherapy to the ipsilateral breast (patient)
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No prior cytotoxic regimens (patient)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of California, San Francisco | San Francisco | California | United States | 94143 |
Sponsors and Collaborators
- University of California, San Francisco
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Nola M. Hylton, PhD, University of California, San Francisco
- Principal Investigator: Bonnie Joe, MD, PhD, University of California, San Francisco
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000616972
- 08755
- NCI-2019-07528
- R01CA116182
- U01CA225427