Photo-acoustic and ultrasound breast imaging with the PAM3+
Official title: Photo-Acoustic and Ultrasound MammoScope to Detect Breast Lesions: The PAUS Study
Run by Franciscus Gasthuis & Vlietland (Hospital) · NCT07492589 · Data updated 2026-11-12
This project tests whether the Photo Acoustic Imager 3+ (PAM3+) can reliably rule out benign and malignant breast lesions in women referred to an outpatient breast clinic.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 180 (estimated) |
| Sponsor | Franciscus Gasthuis & Vlietland (Hospital) Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Schiedam, South Holland) |
| Status | Recruiting |
| Started | February 1, 2026 |
| Main results expected | December 31, 2027 |
| Study ends | April 1, 2028 |
| Registry record updated | March 25, 2026 |
| Trial ID | NCT07492589 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women over 18 referred to the outpatient breast clinic for evaluation of a possible breast lesion who can give informed consent and complete Dutch questionnaires are ideal candidates.
✕Probably not a fit
Women currently receiving chemotherapy, pregnant women, those with active mastitis, open breast wounds or nipple discharge, carriers of resistant bacteria, or those using photosensitizing medications or with incompatible piercings are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The trial uses the Photo Acoustic Imager 3+ (PAM3+) alongside routine breast imaging in an outpatient clinic to measure how well it identifies breast lesions. The primary goal is to determine the device's negative predictive value for distinguishing benign from malignant lesions. Secondary analyses compare PAM3+'s ability to localize and size lesions against BI-RADS scores, breast density, and conventional imaging, and will collect data on usability, patient satisfaction, and safety. The study will also develop an initial PAM3+ imaging lexicon to help standardize interpretation.
Why it matters
Potential benefit: If successful, PAM3+ could reduce unnecessary biopsies and speed up diagnosis by more accurately ruling out malignancy in some women.
How similar studies have gone: Photo-acoustic breast imaging is an emerging technique with promising pilot data but limited large-scale clinical validation, so this approach remains relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Women 2. Age \> 18 years 3. Referred to the outpatient breast clinic of the Franciscus Vlietland Hospital due to a possible breast lesion 4. Patients who are fully competent to give written informed consent 5. Sufficient knowledge of the Dutch language to complete a questionnaire Exclusion Criteria: 1. Currently undergoing chemotherapy 2. Discharge from the nipple(s) 3. Breast ulcers or -wounds 4. Currently suffering from mastitis 5. Carrier of a resistant bacterium (e.g. Methicillin-resistant Staphylococcus aureus (MRSA) or Multidrug resistant organisms (MDRO; in Dutch: BRMO) 6. Irremovable piercings on/in the breast 7. Pregnancy 8. Patients whose breasts do not fit in the cup sizes (small breasts can be measured without a cup) 9. Currently using medication that increases photo-toxicity of the skin or skin care products that increase photosensitivity (e.g. certain antibiotics: tetracyclines or quinolones, certain antidiuretics 10. A history of photosensitive disease (e.g. porphyria, lupus erythematosus) 11. Currently undergoing therapy for a photosensitive disease and experiencing photosensitive disease 12. Currently undergoing phototherapy 13. Patients with a known allergy for PVC 14. Patients that are not physically capable of climbing on the examination bed 15. Patients that are not physically capable of laying on the examination bed during the measurements
Where it's running
-
Franciscus Vlietland Ziekenhuis
Schiedam, South Holland, Netherlands Recruiting
Study contacts
- Principal investigator: T.M.A.L. Klem, MD, PhD — Franciscus Gasthuis & Vlietland
- Study coordinator: Linda Riks, MD
- Email: l.riks@franciscus.nl
- Phone: 010 - 893 6010
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.