{"id":32,"date":"2019-01-08T07:02:58","date_gmt":"2019-01-08T07:02:58","guid":{"rendered":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/?page_id=32"},"modified":"2022-11-30T14:28:53","modified_gmt":"2022-11-30T14:28:53","slug":"trial-objectives","status":"publish","type":"page","link":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/about-the-prospects-trial\/trial-objectives\/","title":{"rendered":"TRIAL OBJECTIVES"},"content":{"rendered":"\n<p><em>The results of the study will be used to enable the NHS Breast Screening Programme decide whether and how to implement tomosynthesis for routine screening<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Primary objectives.<\/h2>\n\n\n\n<p> To compare the <g class=\"gr_ gr_3 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling ins-del multiReplace\" id=\"3\" data-gr-id=\"3\">cost \u2013 effectiveness<\/g> of breast cancer screening using&nbsp;DBT&nbsp;+&nbsp;2DDM&nbsp;or S2D with screening using&nbsp;2DDM&nbsp;by measuring cancer detection rates, interval cancer rates, size and&nbsp;lymph node&nbsp;status of Grade 2 and 3 invasive cancers in <g class=\"gr_ gr_5 gr-alert gr_gramm gr_inline_cards gr_run_anim Grammar only-ins doubleReplace replaceWithoutSep\" id=\"5\" data-gr-id=\"5\">intervention<\/g> (DBT&nbsp;+&nbsp;2DDM&nbsp;or S2D) and&nbsp;2DDM&nbsp;(standard care) groups. <\/p>\n\n\n\n<h4 class=\"wp-block-heading\"> Secondary objectives. <\/h4>\n\n\n\n<ol class=\"wp-block-list\"><li>To demonstrate non-inferiority of\u00a0DBT\u00a0+ S2D compared to\u00a0DBT\u00a0+\u00a02DDM. <\/li><li>To measure the impact of\u00a0DBT\u00a0+\u00a02DDM\u00a0screening on screening recall rates, benign biopsy rates at diagnostic assessment and at surgery. <\/li><li>To measure the effect of\u00a0DBT\u00a0+\u00a02DDM\u00a0screening compared to\u00a02DDM\u00a0in patient groups according to breast density, type of screen, age. <\/li><li>To develop methods for measuring reader performance with\u00a0DBT\u00a0+\u00a02DDM\u00a0screening.<\/li><li>To carry out retrospective reader studies to measure the effect of <g class=\"gr_ gr_23 gr-alert gr_gramm gr_inline_cards gr_run_anim Style multiReplace\" id=\"23\" data-gr-id=\"23\">other\u00a0 screening<\/g> strategies \u2013\u00a02DDM\u00a0vs\u00a0DBT\u00a0alone,\u00a02DDM\u00a0vs\u00a0DBT\u00a0+ synthetic 2D,\u00a02DDM\u00a0vs\u00a02DDM\u00a0+ limited <g class=\"gr_ gr_19 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling\" id=\"19\" data-gr-id=\"19\">tomo<\/g> views.<\/li><li>To compare patient preferences for breast cancer screening with\u00a02DDM\u00a0+\u00a0DBT\u00a0vs\u00a02DDM.<\/li><li> To develop &amp; evaluate Artificial Intelligence Algorithms for the Analysis of DBT images    <\/li><\/ol>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"The results of the study will be used to enable the NHS Breast Screening Programme decide whether and how to implement tomosynthesis for routine screening Primary objectives. To compare the cost \u2013 effectiveness of breast cancer screening using&nbsp;DBT&nbsp;+&nbsp;2DDM&nbsp;or S2D with screening using&nbsp;2DDM&nbsp;by measuring cancer detection rates, interval cancer rates, size and&nbsp;lymph node&nbsp;status of Grade 2&#8230; <a class=\"view-article\" href=\"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/about-the-prospects-trial\/trial-objectives\/\">View Article<\/a>","protected":false},"author":4,"featured_media":0,"parent":197,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-32","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/wp-json\/wp\/v2\/pages\/32","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/wp-json\/wp\/v2\/comments?post=32"}],"version-history":[{"count":5,"href":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/wp-json\/wp\/v2\/pages\/32\/revisions"}],"predecessor-version":[{"id":491,"href":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/wp-json\/wp\/v2\/pages\/32\/revisions\/491"}],"up":[{"embeddable":true,"href":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/wp-json\/wp\/v2\/pages\/197"}],"wp:attachment":[{"href":"https:\/\/medphys.royalsurrey.nhs.uk\/prospects\/wp-json\/wp\/v2\/media?parent=32"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}