Evaluation of Diagnostic Accuracy of Contrast-enhanced Ultrasound (CEUS) and Gadoxetic Acid-enhanced Liver MRI for Diagnosis of Hepatocellular Carcinoma in Patients With Liver Cirrhosis
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Hepatocellular Carcinoma
- Sponsor
- Seoul National University Hospital
- Enrollment
- 117
- Locations
- 1
- Primary Endpoint
- Diagnostic performance of CEUS for diagnosing HCC
- Last Updated
- 5 years ago
Overview
Brief Summary
This study aims to compare the diagnostic accuracy of Contrast-enhanced ultrasound (CEUS) for diagnosing hepatocellular carcinoma (HCC) with that of gadoxetic acid-enhanced liver magnetic resonance imaging (MRI) using non-invasive diagnostic criteria (American Association for the Study of Liver Disease (AASLD or Liver Imaging Reporting and Data System (LI-RADS) v2018 and Korean Liver Cancer Study Group- National Cancer Center Korea (KLCSG-NCC) v2018).
Investigators
Jeong Min Lee
Professor
Seoul National University Hospital
Eligibility Criteria
Inclusion Criteria
- •High risk group of developing HCC
- •hepatic nodule equal to or larger than 1cm on ultrasound or computed tomography (CT)
- •newly detected nodule (equal to or larger than 1cm, at least 2cm distance from radiofrequency ablation (RFA) site or resection margin) in patients with history of hepatic resection or RFA for HCC AND in remission more than a year
- •scheduled for gadoxetic acid-enhanced liver MRI
- •signed informed consent
Exclusion Criteria
- •hypersensitivity for ultrasound contrast media
- •pregnancy
- •history of recent treatment for HCC in a year
- •standard of reference is not available
- •severe cardiopulmonary disease (right to left shunt, severe pulmonary hypertension, uncontrolled hypertension, etc)
Outcomes
Primary Outcomes
Diagnostic performance of CEUS for diagnosing HCC
Time Frame: 3 months after CEUS
accuracy, sensitivity, specificity of CEUS for HCC diagnosis
Secondary Outcomes
- Diagnostic performance of gadoxetic-acid liver MRI for diagnosing HCC using KLCSG-NCC guidelinev2018(3 months after MRI)
- Diagnostic performance of gadoxetic-acid liver MRI for diagnosing HCC using LI-RADSv2018(3 months after MRI)