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Endosonographic Shear Wave Elastography for Liver Stiffness

Conditions
Liver Cirrhosis
Registration Number
NCT04533932
Lead Sponsor
Midwest Biomedical Research Foundation
Brief Summary

This is a single-center, prospective, non-randomized, comparative study which will compare the diagnostic accuracy and safety of endosonographic real-time Elastography and shear wave Elastography with the current standards of care, i.e. liver biopsy and Vibration-controlled transient elastography (Fibroscan). Subjects who are referred for an endoscopic ultrasound (EUS) guided liver biopsy will be prospectively enrolled to undergo liver biopsy, Elastography and/or Vibration-controlled transient elastography.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Patients referred for EUS guided liver biopsy
  • Elevated liver enzymes without obvious etiology, thus necessitating liver biopsy or clinical concern for cirrhosis or NASH requiring histological confirmation
  • Ability to provide informed consent and willing to participate
Exclusion Criteria
  • Clinical evidence of cirrhosis which obviates need for liver biopsy
  • Noninvasive lab testing which confirms presence of cirrhosis
  • Surgically altered foregut anatomy which precludes safe endoscopic liver biopsy
  • Coagulopathy with INR greater than 1.6 in patients on anticoagulant therapy
  • Thrombocytopenia with platelet count less than 50,000/mL
  • Pregnancy (positive urine pregnancy test in females of childbearing age)
  • Lack of consent

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Degree of fibrosisthrough study completion, an average of 1 year

Degree of fibrosis based on histological assessment

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Kansas City VA Medical Center

πŸ‡ΊπŸ‡Έ

Kansas City, Missouri, United States

Kansas City VA Medical Center
πŸ‡ΊπŸ‡ΈKansas City, Missouri, United States
Divyanshoo Kohli, MD
Contact

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