Breast Cancer Clinical Trial
Official title:
FAST MRI Study in Breast Cancer Survivors
Breast Magnetic Resonance Imaging (MRI) has been shown to be the most accurate test for
detecting breast cancer however, MRI is not always reliable because it can indicate the
presence of cancer when in reality, there is none; this is called a 'false positive' result.
A history of breast carcinoma alone does not qualify a patient for ongoing monitoring with
breast MRI. This study is being done to assess a new technique called FAST breast MRI. A FAST
breast MRI is different than a traditional breast MRI because it has much fewer sequences and
takes approximately 3 minutes for the scan. MRI sequences are combinations of magnetic pulses
that collect information about the tissues. There is no radiation associated with an MRI.
The purpose of this study is to determine the impact on patient health when a FAST breast MRI
is used as a screening technique in women with a personal history of cancer. It has been
shown that FAST breast MRI is similar to routine breast MRI in the detection of breast
cancer, but it has not been proven that FAST breast MRI will help women who have a personal
history for breast cancer. Currently, routine breast MRI is not part of the standard of care
in screening for breast cancer in women who have a prior personal history of breast cancer.
By evaluating FAST MRI the investigators are able to study the effects of this short MRI on
cancer detection in women with a personal history of breast cancer, and on the impact on
overall health. The investigators estimate that 300 participants will be enrolled in the
study from The Ottawa Hospital Cancer Centre at The Ottawa Hospital, General Campus and the
Women's Breast Health Centre at The Ottawa Hospital, Civic Campus. All of the participants
have had a history of breast carcinoma.
Given the demand for breast MRI screening by breast cancer survivors and oncologists, we plan
to perform a randomized controlled trial in a select patient population of breast cancer
survivors who would not normally be eligible for breast MRI screening. This study will
determine whether using FAST MRI in addition to mammography will reduce anxiety in patients
compared to the current standard of care: mammography alone. If it turns out to reduce
anxiety, the next step would be to conduct a large-scale multi-centre randomized control
trial (RCT) to evaluate whether FAST MRI is more sensitive and whether the increased
sensitivity leads to improved clinical outcomes.
The purpose of our study is to determine the impact on patient anxiety of FAST Breast MRI as
a surveillance technique in women with a personal history of breast cancer.
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