Hepatic steatosis/intra-hepatic fat in patients with colorectal liver metastases who are undergoing neoadjuvant chemotherapy Digestive System
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients must be able to receive and understand verbal and written information regarding the study and give written, informed consent. 2. Patients in receipt of neoadjuvant chemotherapy for CRLM. 3. Persons over 18 years old
Exclusion criteria
Exclusion criteria: 1. Persons under 18 years of age. 2. Conditions in which the supine position and breath holds required for MR scanning are not possible. 3. Persons who might not adequately understand verbal explanations or written information given in English, or who have special communication needs. 4. Persons with contraindications to MR imaging- presence of cardiac pacemaker/artificial heart valve/aneurysm clips/metallic fragments in eyes/cochlear implants 5. Pre-existing chronic liver pathology such as haemachromatosis, viral hepatitis or primary hepatic malignancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intrahepatic fat fraction as measured by 2 Chemical Shift Magnetic Resonance scans greater than 24 hours apart. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Indocyanine Green Plasma Disappearance Rate and Retention at 15 minutes, measured using a PULSiON Indocyanine Green Clearance Testing Device. This will be measured at visit 1 (Week 0 - at cessation of chemotherapy) and 4 weeks later (pre-operatively) 2. BMI, Height, Weight and Hip to Waist ratio, measured at visit 1 (Week 0 - at cessation of chemotherapy) and 4 weeks later (pre-operatively) 3. Assessment of Liver function, Glycaemic control and Lipid profile, including Bilirubin, AST, ALT, ALP GGT, HbA1c, Random Glucose, Triglycerides and Cholesterol at visit 1 and 2 | — |
Countries
United Kingdom