Clinical trial Recruiting at 1 site Interventional Ages 40 to 69 Women only

Evaluating Contrast-enhanced Spectral Mammography for Breast Cancer Screening

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

Run by University of Virginia · NCT04904757 · Data updated 2026-11-12

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

Study typeInterventional
Ages40 Years to 69 Years
SexWomen only
Enrollment210 (estimated)
SponsorUniversity of Virginia
Academic / other
Locations1 site (Charlottesville, Virginia)
StatusRecruiting
StartedSeptember 19, 2019
Main results expectedDecember 2022
Study endsJune 2023
Registry record updatedNovember 17, 2022
Trial IDNCT04904757 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a 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.

Probably 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.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

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.

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 gone: 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.

Who can join: the full rules

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 it's running

  • UVA Breast Care Center
    Charlottesville, Virginia, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.