Breast Cancer
Conditions
Keywords
artificial intelligence, breast cancer screening, second reading
Brief summary
The goal of this clinical trial is to compare, for the second reading of screening mammograms, the standard of care with an AI assisted scenario. The main questions it aims to answer are: * will the experimental pathway be non-inferior to the standard pathway? * will the experimental pathway be economically superior to the standard pathway? Participants will receive screening mammograms, as part of the breast cancer screening program. Researchers will compare the interpretation made by the second reader in the standard pathway with the AI assisted interpretation made by a different reader in the experimental pathway.
Detailed description
All mammograms eligible for a second reading, and included in the study, go through 2 arms: * Conventional second reading by a radiologist accredited to do second reading in France (L2 control arm), * Second reading assisted by the AI (L2-AI experimental arm): mammograms will be read by the AI first and only if deemed suspicious, a radiologist accredited to do second reading in France will review them. The most pejorative assessment among the two arms is used as the final decision: if both arms consider the mammogram as negative, the participant won't be recalled, if one arm consider the mammogram as positive, the participant will be called back for further examinations. Clinical performances and economical impacts of both scenarii will be compared.
Interventions
DEVICEMammoScreen
Diagnostic reading aid for breast cancer screening
Sponsors
Therapixel
Study design
Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
50 Years to 74 Years
Healthy volunteers
Yes
Inclusion criteria
* Affiliated to the French social security system * Whose mammograms meet the following characteristics: 4 (2 per breast, CC and MLO) meeting local regulatory standards and with correct DICOM metadata, * Whose mammograms have been determined to be normal or to have benign lesions by the radiologist who performed the first reading of the images (L1) in the framework of the organized breast cancer screening program * Having expressed her willingness to participate in the study, to undergo all the procedures and to make herself available for the expected duration of their participation, * Having completed and signed the informed consent form.
Exclusion criteria
* Woman with breast implants, * With clinical symptoms of breast cancer, * With a history of breast surgery (breast reduction or surgery for benign lesion), * Pregnant or breastfeeding, * With medical conditions that may interfere with her ability to understand the requirements of the protocol or give informed consent, * Deprived of liberty by judicial or administrative order, * Participant whose mammogram images have at least one of the following defects: poor quality of the images, non-standard mammography (projection, magnification, compression), ML/LM/SIO/XCCL or XCCM view.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recall rate | End of the inclusion period 24 months | Number of patients that are called back for further examinations divided by the total number of patient receiving a second reading. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cancer detection rate | End of the inclusion period 24 months | Number of biopsy proven cancers divided by the total number of patient receiving a second reading |
| Sensitivity and Specificity | End of the follow_up period 48 months | True and false-positive rate |
| Economic impact | End of the follow_up period 48 months | Difference in direct medical costs between the two arms Difference in annual budgetary impact on the French National Health Insurance between the two arms |
| Time-to-results | End of the inclusion period 24 months | Time period \[in days\] between the day of the screening and the access to results |
| Reading time | End of the inclusion period 24 months | Time needed \[in seconds\] to interpret a mammogram |
Countries
France
Contacts
Primary ContactBrigitte Seradour
Backup ContactPatrice Heid
Outcome results
None listed