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Magnetic Resonance Elastography (MRE) as a Predictor of HCC Recurrence After Radiofrequency Ablation (RFA)

Magnetic Resonance Elastography Score Reflecting Hepatic Fibrosis as an Independent Predictor for Recurrence of Hepatocellular Carcinoma After Radiofrequency Ablation Therapy

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01447667
Acronym
MRE
Enrollment
72
Registered
2011-10-06
Start date
2011-10-31
Completion date
2022-12-31
Last updated
2023-11-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatic Fibrosis, Hepatocellular Carcinoma

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

Seoul National University Hospital
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Number of patients who experienced HCC recurrence after RFAwithin 2 years after RFA procedureTo see whether MRE score reflecting hepatic fibrosis predicts the recurrence of HCC within 2 years after RFA treatment

Secondary

MeasureTime frameDescription
Sensitivity and specificity of each indicator of hepatic fibrosis compared to the gold-standard histology score2 years after RFATo 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

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026