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Diagnosing and Monitoring Portal Hypertension Non-invasively Using Spleen Stiffness Measurement in Patients With Advanced Chronic Liver Disease: a Prospective Cohort Study

Not yet recruiting
Conditions
Advanced Chronic Liver Disease
Registration Number
NCT06181409
Lead Sponsor
McGill University Health Centre/Research Institute of the McGill University Health Centre
Brief Summary

The goal of this observational study is to assess non-invasive tools' efficacy in predicting portal hypertension-related complications in individuals with advanced chronic liver disease. The main question it aims to answer are:

- what are the cut-off values for non-invasive tests (NITs) (including LSM, SSM) that predict the presence and occurrence of hepatic decompensation in individuals with advanced chronic liver disease?

Participants will undergo regular study visits involving non-invasive tests (LSM, SSM) and assessments to monitor hepatic decompensation over the study period.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Age above 18years old
  • Advanced chronic liver disease (defined as LSM ≥ 10kPa)
  • Ability to provide informed consent
Exclusion Criteria
  • Transjugular intrahepatic portosystemic shunt
  • previous liver transplantation
  • Abnormality of the porto-mesenteric system (portal vein thrombosis, splenic vein thrombosis, splenectomy, portal cavernomatous transformation, porto-caval shunts)
  • Hematological malignancy

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of patients diagnosed with portal hypertension using elastography techniquesAt baseline

We will assess the diagnostic accuracy of liver and spleen stiffness for portal hypertension

Secondary Outcome Measures
NameTimeMethod
Identifying patients at high-risk of liver related events using elastography techniques5 years

We will use liver and spleen stiffness to identify patients at risk of developing liver -related events

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