Contrast-Enhanced Ultrasound Scan for the Estimation of Tissue Pressure in Patients With Breast Cancer
Purpose
This clinical trial studies the use of contrast-enhanced ultrasound (CEUS) in estimating tissue pressure in patients with breast cancer. Diagnostic procedures, such as CEUS, may help estimate tissue pressure noninvasively.
Condition
- Breast Carcinoma
Eligibility
- Eligible Ages
- Over 21 Years
- Eligible Genders
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Provide signed and dated informed consent form - Be conscious, willing and able to comply with all study procedures and be available for the duration of the study - At least 21 years old - Be scheduled for a breast biopsy (Breast Imaging Reporting and Data System [BIRAD] 4, 4A, 4B, 4C or 5) - Patient with an at least 1 cm mass located at < 3 cm depth, approachable by 2.5 inch needle - Be medically stable as determined by the investigator - If a female of child-bearing potential, must have a negative urine pregnancy test within 24 hours prior to administration of Definity
Exclusion Criteria
- Females who are pregnant or nursing - Patients who are medically unstable, patients who are seriously or terminally ill, and patients whose clinical course is unpredictable. For example: - Patients on life support or in a critical care unit - Patients with unstable occlusive disease (e.g., crescendo angina) - Patients with clinically unstable cardiac arrhythmias, such as recurrent ventricular tachycardia - Patients with uncontrolled congestive heart failure (New York Heart Association [NYHA] class IV) - Patients with recent cerebral hemorrhage - Patients who have undergone surgery within 24 hours prior to the study sonographic examination - Patients with known hypersensitivity or allergy to any component of Definity - Patients with unstable cardiopulmonary conditions or respiratory distress syndrome - Patients with uncontrollable emphysema, pulmonary vasculitis, pulmonary hypertension or a history of pulmonary emboli
Study Design
- Phase
- Early Phase 1
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Diagnostic
- Masking
- None (Open Label)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Diagnostic (CEUS) |
Patients undergo ultrasound without contrast. Patients then receive Definity IV over 15 minutes and undergo CEUS. |
|
Recruiting Locations
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania 19107
Philadelphia, Pennsylvania 19107
More Details
- Status
- Recruiting
- Sponsor
- Thomas Jefferson University
Detailed Description
PRIMARY OBJECTIVE: I. To determine if the 3-dimensional (3D) subharmonic aided pressure estimation (SHAPE) results can be used to estimate interstitial fluid pressures (IFPs) in breast tumor and its surrounding tissue. SECONDARY OBJECTIVE: I. To determine if the malignancy of breast tumor can be predicted by the 3D SHAPE results. OUTLINE: Patients undergo ultrasound without contrast. Patients then receive perflutren lipid microspheres (Definity) intravenously (IV) over 15 minutes and undergo CEUS.