HCC
Conditions
Keywords
surveillance, ultrasonography, computed tomography
Brief summary
The purpose of this study is to compare sensitivity for hepatocellular carcinoma (HCC) of bi-annual ultrasonography and low dose computed tomography (LDCT) in patients at high risk of HCC.
Detailed description
Patients at high risk of HCC are recommended to undergo biannual surveillance using ultrasound. In this study, LDCT is performed in addition to biannual ultrasound surveillance in eligible patients to compare their sensitivity for HCC. Standard of reference would be follow-up imaging and/or gadoxetic acid-enhanced liver MRI.
Interventions
patients underwent contrast-enhanced CT using aforementioned CT contrast media (non-ionic monomer iodinated CT contrast media)
Sponsors
Study design
Eligibility
Inclusion criteria
All conditions have to be satisfied to be enrolled. * \> 20 years * high risk group of HCC according to AASLD guideline * risk index \> = 2.33 * currently on regular biannual surveillance using ultrasonography * sign informed consent
Exclusion criteria
Patients with any of following condition cannot be enrolled. * previously diagnosed with HCC * any contraindication of contrast enhanced CT including allergic reaction to iodine * history of other malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Detection rate of patients with HCC | 18 months | from the 1st LDCT/US screening to six months follow-up after last (12 months after 1st LDCT/US) LDCT/US screening |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Detection rate of patients with early HCC | 18 months | from the 1st LDCT/US screening to six months follow-up after last (12 months after 1st LDCT/US) LDCT/US screening |
| False referral rate | 18 months | from the 1st LDCT/US screening to six months follow-up after last (12 month after 1st LDCT/US) LDCT/US screening |
Other
| Measure | Time frame | Description |
|---|---|---|
| radiation dose per patient | 12 months | from the 1st LDCT/US screening to last LDCT/US screening |
Countries
South Korea