Hepatocellular Carcinoma
Conditions
Keywords
CEUS, gadoxetic acid, MRI
Brief summary
This study aims to compare the diagnostic accuracy of Contrast-enhanced ultrasound (CEUS) for diagnosing hepatocellular carcinoma (HCC) with that of gadoxetic acid-enhanced liver magnetic resonance imaging (MRI) using non-invasive diagnostic criteria (American Association for the Study of Liver Disease (AASLD or Liver Imaging Reporting and Data System (LI-RADS) v2018 and Korean Liver Cancer Study Group- National Cancer Center Korea (KLCSG-NCC) v2018).
Interventions
CEUS is performed using SonoVue (Bracco, Milan, Italy) intravenous administration in eligible participants within a month before/after EOB-MRI.
EOB-MRI is performed using standard dose of hepatocyte specific contrast media (primovist or eovist) according to standard protocol of our institution.
Sponsors
Study design
Eligibility
Inclusion criteria
* High risk group of developing HCC * hepatic nodule equal to or larger than 1cm on ultrasound or computed tomography (CT) * newly detected nodule (equal to or larger than 1cm, at least 2cm distance from radiofrequency ablation (RFA) site or resection margin) in patients with history of hepatic resection or RFA for HCC AND in remission more than a year * scheduled for gadoxetic acid-enhanced liver MRI * signed informed consent
Exclusion criteria
* hypersensitivity for ultrasound contrast media * pregnancy * history of recent treatment for HCC in a year * standard of reference is not available * severe cardiopulmonary disease (right to left shunt, severe pulmonary hypertension, uncontrolled hypertension, etc)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic performance of CEUS for diagnosing HCC | 3 months after CEUS | accuracy, sensitivity, specificity of CEUS for HCC diagnosis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic performance of gadoxetic-acid liver MRI for diagnosing HCC using LI-RADSv2018 | 3 months after MRI | accuracy, sensitivity, specificity of MRI using LI-RADS v2018 for HCC diagnosis |
| Diagnostic performance of gadoxetic-acid liver MRI for diagnosing HCC using KLCSG-NCC guidelinev2018 | 3 months after MRI | accuracy, sensitivity, specificity of MRI using KLCSG-NCC guideline v2018 for HCC diagnosis |
Countries
South Korea