The Diagnostic Performance Assessment of Quantitative Ultrasound Imaging Indices for Differentiating Hepatic Steatosis Grade in Patients With Non-alcoholic Fatty Liver Disease
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fatty Liver
- Sponsor
- Seoul National University Hospital
- Enrollment
- 173
- Locations
- 1
- Primary Endpoint
- Diagnostic performance (area under the ROC curve (AUC)) of quantitative US (QUS) parameters (TAI, TSI) for detection of fatty liver (MRI-PDFF 5 percent)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The purpose of this study is to evaluate diagnostic performance of quantitative ultrasonographic parameters for the assessment of hepatic steatosis with find optimal cut-off values in patients with non-alcoholic fatty liver disease using magnetic resonance imaging proton density fat fraction (MRI-PDFF) and MR spectroscopy as the reference standard.
Investigators
Jeong Min Lee
Professor
Seoul National University Hospital
Eligibility Criteria
Inclusion Criteria
- •patients with known NAFLD or suspected of having NAFLD
- •Patients who are scheduled hepatectomy for living donor liver donation
- •aged ≥ 18 years who are willing and able to complete all procedures
Exclusion Criteria
- •excessive alcohol consumption within 2 years (40g/day for men, 20g/day for women)
- •clinical, laboratory, or histologic evidence of a liver disease other than NAFLD, including viral hepatitis, autoimmune hepatitis, or genetic or acquired disorders
- •use of steatogenic or hepatotoxic medication
- •evidence of decompensated liver disease
- •history of liver surgery
- •contraindication to MRI
- •any other condition believed by investigator to affect a patients' compliance, or completion of the study
Outcomes
Primary Outcomes
Diagnostic performance (area under the ROC curve (AUC)) of quantitative US (QUS) parameters (TAI, TSI) for detection of fatty liver (MRI-PDFF 5 percent)
Time Frame: 1 month
Reference standard: MRI-proton density fat fraction or MR spectroscopy value (5 percent) - ROC curve analysis of each QUS parameters (TAI, TSI, EzHRI) for the detection of MRI-PDFF \>5 percent patients
Secondary Outcomes
- Correlation of QUS parameters and MR fat fraction(1 month)
- Correlation between estimated fat fraction from deep learning model and MRI-proton density fat fraction(1 month)
- Diagnostic performance (area under the ROC curve (AUC)) of QUS parameters (TAI, TSI) for detection of moderate fatty liver (MRI-PDFF 10, 20 percent)(1 month)
- Diagnostic performance (area under the ROC curve (AUC)) of deep leraning model using QUS parametric maps for detection fatty liver (5 percent)(1 month)
- Intra-observer agreement of quantitative US parameters(1 day)
- Diagnostic performance (area under the ROC curve (AUC)) of deep leraning model using QUS parametric maps for detection fatty liver (10 percent, 15 percent, 15 percent, 20 percent)(1 month)