Contrast Enhanced Mammography in the Evaluation of Cancer of Unknown Primary Syndrome
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Contrast-Enhanced Mammography (CEM).
- Кому может быть актуально
- Состояния в реестре: Breast Cancer Diagnosis, Breast Cancer Prevention. Базовые параметры: от 18 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Италия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Contrast-Enhanced Mammography (CEM) in the Evaluation of Cancer of Unknown Primary Syndrome (CUP): A Multicentric Observational Study
Обзор
This study aims to evaluate the role of Contrast-Enhanced Mammography (CEM) in identifying the primary tumor site in patients presenting with Cancer of Unknown Primary (CUP) syndrome. By integrating functional and anatomical imaging, the study explores CEM's diagnostic value compared to standard imaging modalities in a single-center setting.
Подробное описание
The study of CUP syndrome was conducted with MRI, but we propose the study with CEM
Вмешательства
- Диагностический тест Contrast-Enhanced Mammography (CEM)
The intervention in this study involves Contrast-Enhanced Mammography (CEM), a specialized imaging technique that combines standard mammography with contrast-enhanced imaging to detect neo-angiogenesis, which is a characteristic of malignancy. Unlike traditional mammography, CEM utilizes both low-energy and high-energy images to provide enhanced visualization of tissue vascularity, aiding in the identification of occult primary tumors, particularly in patients with Cancer of Unknown Primary (CUP
Первичные конечные точки
- Detection Rate of Primary Tumors using Contrast-Enhanced Mammography (CEM) in Patients with CUP Syndrome [Срок оценки: From enrollment to the end of treatment at 12 months]
Вторичные конечные точки (2)
- Sensitivity, Specificity, and Diagnostic Accuracy of CEM compared to Standard Imaging Modalities (Ultrasound, MRI, Mammography) [Срок оценки: From enrollment to the end of treatment at 12 months]
- Correlation of CEM Findings with Histopathological Results [Срок оценки: From enrollment to the end of treatment at 12 months]
Критерии участия
Критерии включения
- Age: Patients aged 18 years or older.
- Diagnosis of CUP: Patients with a clinical diagnosis of Cancer of Unknown Primary (CUP) syndrome.
- Suspected Breast Malignancy: Patients with clinical or imaging suspicion of a primary breast malignancy.
- Informed Consent: Patients who are able to provide informed consent to participate in the study.
- Presence of Breast Tissue: Female or transgender patients with breast tissue eligible for Contrast-Enhanced Mammography (CEM).
Критерии исключения
- Confirmed Primary Tumor: Patients with a confirmed primary tumor identified in an organ other than the breast.
- Contraindications to Contrast Agents: Patients with contraindications to the use of iodinated contrast agents (e.g., severe allergic reactions to contrast).
- Severe Renal Impairment: Patients with severe renal impairment (eGFR < 30 mL/min/1.73 m²) who cannot safely receive contrast agents.
- Pregnancy or Breastfeeding: Pregnant or breastfeeding women, as contrast administration may be harmful to the fetus or neonate.
- Severe Medical Conditions: Patients with severe medical conditions that may compromise their participation or safety in the study.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Италия · 1 центр
- Link Campus University — Rome
Идентификаторы
NCT: NCT06843096 · T_1_2025