Can a Contrast-Enhanced mammogram spot hidden breast cancers?
NCT ID NCT04579107
First seen Aug 26, 2026 · Last updated Aug 27, 2026 · Updated 1 time
Summary
This trial is testing whether contrast enhanced mammography (CEM) can find additional breast cancers that standard imaging might miss in women already recalled for further testing after a screening mammogram. Women with a suspicious finding will receive an extra CEM scan alongside the usual work-up, and two radiologists will independently review the images without knowing which test was used. The study will compare how often CEM detects multiple tumors in the same breast or cancer in the opposite breast, and will also assess side effects and patient comfort.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Contrast enhanced mammography, an imaging technique that uses an intravenous iodine contrast agent before a mammogram
- What this could lead to
- If successful, this could improve early detection of additional breast cancers, potentially reducing the need for repeat procedures and improving treatment planning.
- What could go wrong
- The trial is relatively small and early-stage, and the added contrast carries risks such as allergic reactions or kidney strain. The technique may not prove more accurate than standard work-up in all cases.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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300 people
The number who actually took part.
- Started
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Oct 2021
- Finished
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Dec 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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25 to 85 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Female * Age: \>25 - \<85 years * Recalled after Mx screening based on abnormal mammographic findings or refered for breast cancer related symtoms * The woman has read, understood and signed the Informed Consent Form (ICF) Exclusion Criteria: * Previous breast cancer * A breast biopsy performed within 6 weeks preceding the study * Recent exposure (during the last week) to iodine contrast media. * Pregnancy * Current breast feeding * Diagnosed with a pheochromocytoma or a paraganglioma * Diagnosed with myeloma or other malignant plasma cell disease * Diagnosed with myasthenia gravis * A renal failure or kidney disorder with increased risk for developing renal failure (single kidney or kidney transplanted) * Diabetes (other than dietary treated) * Heart failure or liver failure * Intake of potentially nephrotoxic substances (daily intake of NSAID, nephrotoxic antibiotics or nephrotoxic chemotherapy) * Iodine contrast allergy * Uncontrolled thyrotoxicosis * A history of severe allergy * Subjects unable to read, understand and execute written informed consent * Any medical aspect that, according to the investigator, could jeopardize the health of the participant
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Bröstcentrum, Södersjukhuset
Stockholm, Sweden
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