Hepatocellular Carcinoma
Conditions
Keywords
HCC, Contrast-enhanced ultrasound, Perfluorobutane, Sulfur hexafluoride
Brief summary
Intra-individual comparison of diagnostic performance of CEUS With perfluorobutane and sulfur hexafluoride for HCC in high-risk Individuals, and their role in the diagnostic algorithm of HCC.
Detailed description
The investigators would compare the diagnostic performance for HCC at high-risk individuals between both USG contrast agents.
Interventions
contrast enhanced ultrasound with perfluorobutane and sulfur hexafluoride
Participants underwent dynamic CT for hepatic lesion
Participants underwent liver MRI for hepatic lesion
Sponsors
Study design
Intervention model description
Study participants underwent contrast-enhanced ultrasound with perfluorobutane and sulfur hexafluoride. The diagnostic performance will be compared intra-individually.
Eligibility
Inclusion criteria
* high-risk for HCC (liver cirrhosis, chronic hepatitis B) * treatment-naive hepatic nodule (\>= 1cm) on preceding CT, MR or ultrasound
Exclusion criteria
* severe cardiopulmonary dysfunction * pregnancy * refusal to enroll study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic accuracy for HCC: non-inferiority test | up to 3 months | The per-lesion diagnostic accuracy for HCC of CEUS with perfluorobutane and sulfur hexafluoride using the same diagnostic criteria (arterial phase hyperenehancement with mild and late (≥ 60 sec) washout). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic performance of perfulorobutane enhanced USG using different definition of washout | up to 3 months | Per-lesion sensitivity and specificity for diagnosing HCC using different time windows for assessing washout in PFB-US |
Other
| Measure | Time frame | Description |
|---|---|---|
| Role of perfluorobutane enhanced USG in EASL diagnostic algorithm of HCC | up to 3 months | The number of perfluorobutane enhanced USG diagnosed HCC that were missed by prior gadoxetic-acid MRI to simulate diagnostic algorithm for HCC and reveal the role of PFB-US as a second-line diagnostic modality |
Countries
South Korea