[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100578508":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":30,"centralContacts":34,"locations":39,"responsibleParty":51,"collaborators":54,"id":70,"slug":71,"hasResults":72,"nctId":73,"briefTitle":74,"officialTitle":75,"acronym":26,"eligibilityCriteria":76,"healthyVolunteers":77,"sex":78,"minAge":26,"maxAge":26,"enrollmentInfo":79,"targetDuration":26,"studyType":82,"phases":83,"briefSummary":85,"conditions":86,"keywords":90,"overallStatus":96,"whyStopped":26,"lastUpdateSubmitDate":97,"lastUpdatePostDateStruct":98,"startDateStruct":101,"completionDateStruct":103,"leadSponsor":105,"locationsCount":106},{"fullName":5,"class":6},"Brigham and Women's Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Teleultrasound","EXPERIMENTAL","Arm 1 hospitals will receive teleultrasound supervision using secure Reacts software which allows clinical supervisors to view ultrasound images and provide scanning feedback in real-time.",[13],"Behavioral: Teleultrasound with Philips Lumify ultrasound probes and Reacts software",{"label":15,"type":16,"description":17,"interventionNames":18},"Asynchronous virtual feedback","ACTIVE_COMPARATOR","Arm 2 hospitals will receive asynchronous virtual feedback in which trainees will upload static images to a shared drive and mentors will email feedback within 24 hours.",[19],"Behavioral: Asynchronous virtual feedback",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Teleultrasound with Philips Lumify ultrasound probes and Reacts software","Clinicians at hospitals randomized to Arm 1 will be provided with Reacts licenses and trained to use Reacts with Philips Lumify devices immediately following the baseline training. Each hospital will be assigned to 2-3 radiologist supervisors (typically 1 Rwandan, 1 U.S.-based), with at least one available on each designated U\u002FS clinic day to provide real-time teleultrasound mentorship. Clinician trainees scan the breast, document their independent findings and management plan in the study REDCap database, and then \"call\" the supervisor using Reacts. Reacts permits supervisor and trainee to see each other virtually; the supervisor can also view live U\u002FS images and the trainee's probe and hand position to provide real-time feedback.",[9],null,{"type":22,"name":15,"description":28,"armGroupLabels":29,"otherNames":26},"Clinicians at Arm 2 hospitals will save static images, with or without video at clinicians' discretion, onto the Philips Lumify tablets. These will be uploaded to a secure internet-based folder with case descriptions, and assigned U.S.- and Rwanda-based experts will be notified that images are available. Experts will review images within 24 hours and email feedback to trainees on imaging quality\u002F technique and management; trainees can also email questions.",[15],[31],{"name":32,"affiliation":5,"role":33},"Lydia E Pace, MD, MPH","PRINCIPAL_INVESTIGATOR",[35],{"name":32,"role":36,"phone":37,"phoneExt":26,"email":38},"CONTACT","4154657223","lpace@bwh.harvard.edu",[40],{"facility":41,"status":26,"city":42,"state":26,"zip":26,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":26},"Partners in Health (Inshuti Mu Buzima)","Butaro","Rwanda","RW",{"type":46,"coordinates":47},"Point",[48,49],29.8313,-1.4079,{"lat":49,"lon":48},{"type":33,"investigatorFullName":52,"investigatorTitle":53,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"Lydia Pace, MD, MPH","Associate Professor of Medicine",[55,57,59,61,63,65,67],{"name":56,"class":6},"Partners in Health",{"name":58,"class":6},"Memorial Sloan Kettering Cancer Center",{"name":60,"class":6},"University of Pennsylvania",{"name":62,"class":6},"Harvard Medical School (HMS and HSDM)",{"name":64,"class":6},"Obafemi Awolowo University",{"name":66,"class":6},"Kaiser Permanente",{"name":68,"class":69},"National Cancer Institute (NCI)","NIH","100578508","strategies-to-decentralize-breast-ultrasound-in-rwanda-100578508",false,"NCT06812208","Strategies to Decentralize Breast Ultrasound in Rwanda","Implementation Strategies to Decentralize Breast Ultrasound Services and Facilitate Timely Breast Cancer Diagnoses in Rwanda","Enrollment in this cluster randomized clinical trial will occur at the health facility level.\n\nInclusion Criteria:\n\n1. District hospital in Rwanda;\n2. Already implementing the Women's Cancer Early Detection Program in their districts (i.e. clinicians in health centers and hospitals in the district have received the nationally-sponsored trainings in breast cancer early detection and cervical cancer screening);\n3. Already using the WCEDP electronic medical record in health centers and the district hospital, or prepared to start using it.\n\nExclusion Criteria:\n\n1\\. Already providing routine breast ultrasound in the district hospital.",true,"ALL",{"count":80,"type":81},1792,"ESTIMATED","INTERVENTIONAL",[84],"NA","Diagnosing breast cancer early is critical to reduce preventable breast cancer deaths in sub-Saharan Africa. This can be done in part through increasing patients' access to breast ultrasound, which is essential for evaluating breast masses. However, ultrasound is typically provided only by radiologists at urban referral hospitals. Training clinicians at rural district hospitals who are not radiologists could increase patients' access to breast ultrasound, but strategies to support and supervise these clinicians and ensure they are providing high-quality ultrasound services has not been studied.\n\nThis project will examine the effectiveness and cost of two strategies for training non-radiologist clinicians to perform breast ultrasound in Rwandan district hospitals.",[87,88,89],"Breast Cancer","Early Detection of Cancer","Ultrasonography",[91,92,93,94,95,43],"breast ultrasound","implementation strategies","low and middle income countries","breast cancer early detection","teleultrasound","NOT_YET_RECRUITING","2026-06-01",{"date":99,"type":100},"2026-06-02","ACTUAL",{"date":102,"type":81},"2027-01",{"date":104,"type":81},"2029-11-30",{"name":5,"class":6},1]