Hepatic Fibrosis, Hepatocellular Carcinoma
Conditions
Keywords
Hepatic fibrosis, Magnetic resonance elastography, Hepatocellular carcinoma, Recurrence
Brief summary
The purpose of this study is to determine: * The efficacy of MRE score as a predictor of HCC recurrence within 2 years after RFA treatment * The efficacy of each indicator (MRE score, non-invasive serum markers) compared to the gold-standard histology score predicting hepatic fibrosis
Detailed description
To evaluate whether MRE score reflecting hepatic fibrosis can predict the recurrence of HCC within 2 years after RFA treatment * Local recurrence/intrahepatic distant recurrence * Multivariable analysis including several related factors to find whether MRE score is an independent predictor of HCC recurrence even after adjusting other factors (etiology of liver disease, size of HCC, vessel invasion, HBsAg titer, etc.) To find the efficacy of each indicator (MRE score, non-invasive serum markers) compared to the gold-standard histology score predicting hepatic fibrosis.
Interventions
Magnetic resonance elastography before RFA and Liver biopsy of 2 HCC tissue and 2 non tumor liver parenchyma tissue
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed as single hypervascular hepatocellular carcinoma initially * AJCC stage I HCC * Child-Pugh class A * Planning radiofrequency ablation for HCC * Voluntary agreement for this study
Exclusion criteria
* Decreased kidney function (GFR \< 70 mL/min/kg) * Contraindication to MRI (pacemaker, defibrillator) * Contrast media hypersensitivity * Other primary malignancy * Acute viral hepatitis * Prior history of liver transplantation * Thrombosis in splenic vein or portal vein * Patients who were enrolled to other clinical trials within 4 weeks * Other severe chronic disease or psychiatric disease * Pregnant or milk-feeding women * Patients with coagulopathy, high risk of bleeding for the liver biopsy * Patients who disagree to participate in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients who experienced HCC recurrence after RFA | within 2 years after RFA procedure | To see whether MRE score reflecting hepatic fibrosis predicts the recurrence of HCC within 2 years after RFA treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity and specificity of each indicator of hepatic fibrosis compared to the gold-standard histology score | 2 years after RFA | To find efficacy of each indicator (MRE, noninvasive serum markers such as APRI, P2/MS) compared to the gold-standard histology score in predicting hepatic fibrosis |
Countries
South Korea