Hepatocellular Carcinoma
Conditions
Brief summary
To determine the role of contrast-enhanced ultrasound (CEUS) as a second-line imaging modality after gadoxetate-enhanced MRI (Gd-EOB-MRI) for identifying hepatocellular carcinoma (HCC) among at-risks observations.
Detailed description
The purpose of our study was to evaluate the diagnostic ability of CEUS with perflubutane to identify HCC on the indeterminate observation in Gd-EOB-MRI and to establish the role of CEUS as a second-line (post-Gd-EOB-MRI) modality for HCC diagnosis.
Interventions
Perflubutane enhanced ultrasound for evaluating hepatic tumor
Sponsors
Study design
Intervention model description
All participants underwent CEUS. The image reviews based on cross-section images will be performed with or without CEUS results. Two image sets (cross-sectional image with CEUS and without CEUS) will be compared.
Eligibility
Inclusion criteria
* at risk of HCC by Liver Imaging Reporting and Data System (LI-RADS) * at least one treatment-naïve solid hepatic observation (≥1 cm) while surveillance using US, CT or MRI * signed informed consent
Exclusion criteria
* congestive hepatopathies * severe cardiovascular dysfunction * no recent cross-sectional images within 4 weeks * suboptimal cross-sectional images quality
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Compared the image features of CEUS and Gd-EOB-MRI in at-risk observation | 1. For 3 days after undergoing CEUS to check the complication of CEUS, per each participants. 2. The time interval between CEUS and Gd-EOB-MRI should not be exceed 4 weeks. | Compared the frequency of arterial phase hyperenhancement (APHE) and washout in at-risk observation, between CEUS and Gd-EOB-MRI. |
| Compared diagnostic performance of Gd-EOB-MRI alone and Gd-EOB-MRI with CEUS. | 1. For 3 days after undergoing CEUS to check the complication of CEUS, per each participants. 2. The time interval between CEUS and Gd-EOB-MRI should not be exceed 4 weeks. | Evaluated sensitivity, specificity and accuracy for diagnose HCC by using Gd-EOB-MRI alone, or Gd-EOB-MRI with CEUS. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparing image characters between two types of ultrasound contrast media | For 3 days after undergoing CEUS to check the complication of CEUS, per each participants. | Comparing image characters between two types of ultrasound contrast media |
Countries
South Korea