TMIST

Tomosynthesis Mammographic Imaging Screening Trial

The Tomosynthesis Mammographic Imaging Screening Trial (TMIST) is the first randomized controlled trial that seeks to identify women in which digital breast tomosynthesis (DBT) may outperform (2D) digital mammography in reducing advanced breast cancer development.

The study will create the world’s largest curated dataset of breast cancer screening clinical data, images and bio-specimens to help researchers tailor future screening to a woman’s individual risk.

TMIST is enrolling 165,000 healthy women ages 45 to 74 at 130 sites throughout North America.

Primary Site Qualifications for TMIST


Participating sites must meet the following criteria: 
  • Have digital breast tomosynthesis (DBT) and digital mammography equipment on site where patients will be accrued
  • Be a member of one of the National Clinical Trials Network (NCTN) groups, such as ECOG-ACRIN.
See if your facility is a member of any of these NCTN member organizations by clicking the links below:

ECOG-ACRIN membership requires a site Cancer Therapy Evaluation Program (CTEP) ID number (see Site Needs below), completion of an ECOG-ACRIN membership application, and submission of a CV for the principal investigator.

Reimbursement/Payment Structure


The study pays facilities $500 for the submission of data on each insured and uninsured subject enrolled through National Clinical Trials Network (NCTN) group affiliation.

TMIST also pays sites $150 for data on each follow-up screening mammogram (digital mammogram or digital breast tomosynthesis) required under the study protocol for patients with private insurance, Medicare or Medicaid. NCI Community Oncology Research Program (NCORP) sites receive equivalent NCORP credits. These payments are in addition to the insurer payment to cover the cost of the exam.

TMIST also pays facilities $288 per study ($138.17 for performing each exam + $150 for data submission for each exam) for uninsured subjects who qualify for charity care at the site. This payment can be applied for each time a screening exam is required in the study for uninsured women.

Additional TMIST payments are received for submission of biopsy samples and blood and buccal smear samples. NCORP sites receive equivalent NCORP credits.

Time and Resource Commitment


The lead radiologist should provide 1-2 hours per week to ensure the study protocol is followed properly.

Reading radiologists will follow their normal clinical reporting processes during TMIST but should be aware of the involvement of patients under their care in the trial.

Mammography technologists should observe imaging modality randomization of the trial subjects.

Screening mammogram report results are entered into a computer by a research assistant (RA).

One full-time equivalent should be budgeted for the RA, and perhaps another for a recruitment coordinator to handle recruitment, enrollment, consents, case report form data entry, image transmission and other duties.

The quality control mammography technologist should set aside at least 30 minutes per month to perform TMIST quality control (QC) imaging on mammography units to be used to perform screening on TMIST participants.

Contracting Structure


Master research agreements that cover participation in all National Cancer Institute trials run through the NCTN are established between the facility and each NCTN group it is affiliated with.

More TMIST Information