Using contrast-enhanced mammography to predict breast cancer

Contrast-Enhanced Mammography (CEM) for the Evaluation and Targeted Biopsy of Suspicious Mammographic Architectural Distortions

Not applicable Interventional M.D. Anderson Cancer Center · NCT04871139

This study is testing if a special type of mammogram that uses contrast dye can better predict breast cancer in women with suspicious breast scans compared to regular mammograms.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment100 (estimated)
Ages25 Years to 85 Years
SexAll
SponsorM.D. Anderson Cancer Center Academic / other
Locations1 site (Houston, Texas)
Trial IDNCT04871139 on ClinicalTrials.gov

What this trial studies

This clinical trial evaluates the effectiveness of contrast-enhanced mammography (CEM) in predicting breast cancer compared to standard mammography. CEM involves an intravenous injection of iodine-based contrast to enhance the visibility of tissues and blood vessels in breast scans. The study aims to assess the sensitivity and specificity of CEM in detecting invasive malignancy or ductal carcinoma in situ (DCIS) in patients with suspicious mammographic architectural distortions. Additionally, it will explore the correlation between CEM findings and the need for biopsies, as well as the potential role of blood biomarkers in cancer detection.

Who should consider this trial

Good fit: Ideal candidates are women aged 25-85 with suspicious mammographic architectural distortions who are recommended for a stereotactic biopsy.

Not a fit: Patients with a history of allergic reactions to iodinated contrast, renal insufficiency, or recent breast surgery may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could improve the accuracy of breast cancer detection and lead to better-targeted biopsies.

How similar studies have performed: Other studies have shown promise in using advanced imaging techniques for cancer detection, suggesting that this approach may yield beneficial results.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Women with suspicious MADs recommended for a stereotactic biopsy who underwent their diagnostic imaging work-up resulting in a biopsy recommendation at MD Anderson Cancer Center (MDACC) or at an outside facility with a technically acceptable quality of diagnostic mammography, and who are planning to have their biopsy at MDACC
* Age 25-85 years
* Willing to participate in the study, undergo an IV placement, able to undergo iodinated contrast injection, and able to provide informed consent

Exclusion Criteria:

* Reported history of an allergic reaction to iodinated contrast
* History of anaphylactic reaction to any substance
* Renal insufficiency
* Pregnancy or lactation within 6 months
* Breast surgery affecting the site of interest within prior 6 months
* Breast biopsy at the site of interest within the last 2 months

Where this trial is running

Houston, Texas

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 Breast Carcinoma
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.