Evaluating Contrast-enhanced Spectral Mammography for Breast Cancer Screening

Willingness of Women to Undergo a Contrast-enhanced Spectral Mammography (CESM) for Breast Cancer Screening and Their Experience Before and After CESM

Not applicable Interventional University of Virginia · NCT04904757

This study is testing whether women with dense breast tissue prefer Contrast-enhanced Spectral Mammography over regular mammograms for their annual breast cancer screening.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment210 (estimated)
Ages40 Years to 69 Years
SexFemale
SponsorUniversity of Virginia Academic / other
Locations1 site (Charlottesville, Virginia)
Trial IDNCT04904757 on ClinicalTrials.gov

What this trial studies

This study aims to assess how well women adopt Contrast-enhanced Spectral Mammography (CESM) as their annual breast cancer screening method compared to traditional 2-D or 3-D mammograms. It will involve 210 women aged 40 to 69 with dense breast tissue who will undergo CESM as part of their clinical care. Participants will complete surveys before and after the CESM to evaluate their experience and decision-making factors related to advanced screening. The study will compare the experiences of those who choose CESM with those who opt for standard mammography.

Who should consider this trial

Good fit: Ideal candidates are women aged 40 to 69 with heterogeneous or extremely dense breast tissue who have had a normal mammogram in the past 24 months.

Not a fit: Patients who may not benefit include those with a history of high breast cancer risk, certain medical conditions, or those who have not had a mammogram in the last 24 months.

Why it matters

Potential benefit: If successful, this study could lead to improved breast cancer screening practices and better patient outcomes for women with dense breast tissue.

How similar studies have performed: While CESM is FDA approved, the adoption into clinical practice has been slow, indicating that this approach may be novel in terms of evaluating patient acceptance and experience.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* • Female

  * 40 to 69 years
  * Previous normal mammogram (BI-RADS 1 or 2) showing heterogeneous or extremely dense breast tissue within last 24 months
  * Scheduled for screening mammogram as part of the patient's clinical care

Exclusion Criteria:

* • No mammogram within last 24 months

  * Fatty or scattered fibroglandular tissue on last mammogram
  * History of allergy to iodinated contrast
  * History of renal disease or renal function abnormalities
  * Pregnant women
  * History of diabetes
  * History of paraproteinemia syndromes such as multiple myeloma
  * History of collagen vascular disease
  * History of vascular disease (coronary artery disease, myocardial infarction, carotid disease, peripheral vascular disease, or known visceral artery disease)
  * Previously identified as high risk for breast cancer (\>20% lifetime risk)
  * Asthma
  * Sickle Cell Anemia
  * Currently on Dialysis

Where this trial is running

Charlottesville, Virginia

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Mammographic Breast DensityMammography
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.