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B-mode Ultrasound Imaging in Detecting Early Liver Cancer

Not Applicable
Completed
Conditions
Stage I Hepatocellular Carcinoma
Cirrhosis
Fibrosis
Stage II Hepatocellular Carcinoma
Early Hepatocellular Carcinoma
Interventions
Other: Ultrasound Tomography
Registration Number
NCT02774161
Lead Sponsor
Stanford University
Brief Summary

This pilot trial studies how well B-mode ultrasound imaging works in detecting liver cancer that is early in its growth and may not have spread to other parts of the body. Diagnostic procedures, such as B-mode ultrasound imaging, may help find and diagnose liver cancer and find out how far the disease has spread.

Detailed Description

PRIMARY OBJECTIVES:

I. To investigate the use of quantitative ultrasound spectroscopy to detect early hepatocellular carcinoma (HCC) as an inexpensive and widely available quantitative (i.e. robust) method to confirm disease in developing countries.

OUTLINE:

Patients undergo B-mode ultrasound imaging of the liver over 15 minutes.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
Inclusion Criteria

For Healthy Volunteers

  1. Patients over 18 years of age.
  2. Must have no known medical problems and have had a full medical exam within 6 months of the study. If healthy volunteers have not had a full medical exam within 6 months of the study, one of the ultrasound physicians will conduct the medical exam prior to any study procedures.

For HCC patients

  1. Patients over 18 years of age.
  2. Patient with confirmed diagnosis of HCC, and untreated or Patients with Suspected HCC (Suspected HCC nodules should preferably be smaller than 3 cm and preferably within 6 cm in depth of the transducer head to minimize attenuation) and untreated or Patients at a higher risk of HCC undergoing a screening program by Ultrasound.
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Exclusion Criteria

For Healthy volunteers

  1. Patients who are not likely to comply with the protocol requirements.

For HCC patients

  1. Patients should not be taking other Investigational Agents.
  2. Concomitant medications for treatment of the target lesion.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Diagnostic (B-mode ultrasound imaging)Ultrasound TomographyPatients undergo B-mode ultrasound imaging of the liver over 15 minutes.
Primary Outcome Measures
NameTimeMethod
Spectral slopeUp to 16 months

Summarized as the maximum and/or average value over the lesion of interest (using a region of interest selection) and the liver image as a whole.

Mid-band fitUp to 16 months

The Mid-band fit is related to the intensity of the returned ultrasound signal at different frequencies has been shown to change with tissue morphology.

Spectral interceptUp to 16 months

Spectral intercept (SI) is mostly related to the number scatterers and their density in the tissue. Changes in the SI have been demonstrated to occur due to different pathologies and result from treatments that change the structure of the tissue being imaged.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Stanford University, School of Medicine

🇺🇸

Palo Alto, California, United States

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