- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04487288
Added Value in Combined Use of Fusion Imaging and Contrast-enhanced Ultrasonography
April 6, 2021 updated by: Jeong Min Lee, Seoul National University Hospital
Added Value in Combined Use of Fusion Imaging and Contrast-enhanced Ultrasonography Compared to Fusion Imaging Alone for Percutaneous Biopsies of Focal Liver Lesions
So far, there have been studies showing that the CEUS-grafted technique has added value in biopsy and RFA, but no studies have compared the group using only fusion and the group using CEUS+fusion.
Therefore, the additional added value of CEUS will be evaluated by comparing the two groups.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Despite the rapid development of tumor markers and liver imaging, pathological confirmation is still necessary for atypical liver lesions that do not meet imaging criteria.
US guided procedures are widely used as a method to identify focal lesions of the liver pathologically, and these US guided procedures have no burden on the operation, can be easily accessed, and have a lower cost than surgery.
However, the frequency of pathological confirmation with this US guided procedure remains at around 90%.
In order to increase this probability, a technique for fusion of liver CT/MRI and US has been widely used in recent years, and this allows accurate targeting of small lesions through structures seen in CT and MR.
Through the fusion technique, the biopsy success rate for focal lesions can be increased to 94.4%.
However, there are many cases where lesions deeply located in patients with cirrhosis are invisible, and biopsy is difficult only with fusion due to poor sonic window in patients with high BMI.
To this end, a technique called contrast-enhanced ultrasonography (CEUS), such as the fusion technique, was added, which is a technique that can identify tumor vascularity in real-time using second-generation contrast media.
In recent studies, there are studies combining this fusion technique and CEUS technique, and the success rate of these techniques varies from 87.6% to 97.5%.
Although CEUS with fusion techniques are theoretically superior to fusion only technique, the use of CEUS adds cost of contrast media and is limited in patients with side effects on contrast media. .
Also, there is no study comparing the two so far, and this study intends to compare the technique combining CEUS and fusion and the technique using only fusion.
Study Type
Interventional
Enrollment (Anticipated)
44
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: SAE JIN PARK, MD
- Phone Number: 3107 +82-2072-3107
- Email: psjko05@gmail.com
Study Locations
-
-
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Seoul, Korea, Republic of
- Recruiting
- Seoul National University Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 85 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients scheduled for ultrasound biopsy to confirm local liver lesions
- Adults over 18
- Patients who underwent multi-phasic liver CT or MRI within 6 weeks prior to the procedure
- Patients who understand and agree to the explanation and consent form and submit the consent form
Exclusion Criteria:
- Non-adaptive patients with ultrasound contrast agents (eg acute respiratory failure, heart disease, egg allergy, pregnant women, lactating women)
- Those who have difficulty obtaining proper liver ultrasound images A. Patient cooperation is not possible B. If it is difficult to obtain an image that is appropriate for the researcher's judgment (atrophy of the right lobe of the liver, a bowel is located between the liver and the abdominal wall, etc.)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: DIAGNOSTIC
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: CEUS with fusion
Control group: The historic cohort is used to compare the results of the biopsy using fusion only technique from 2013 to 2019.
|
CEUS using SONAZOID with fusion technique
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Biopsy yield rate
Time Frame: about 2weeks
|
Yield rate
|
about 2weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Complication rate
Time Frame: about 2days
|
Complication rate
|
about 2days
|
Tumor visibility on B-mode US
Time Frame: immediately
|
Tumor visibility on B-mode US which divided into 1 (no visualization), 2 (poorly visible), 3 (indistinct), and 4 (clearly visible)
|
immediately
|
Evaluation of safety access routes to avoid complication
Time Frame: Time: immediately
|
Evaluate whether the needle has a safety route that can prevent complication by avoiding vessels or bile ducts in the liver.
|
Time: immediately
|
Tumor vascularity on CEUS
Time Frame: Time: immediately
|
The tumor vascularity is evaluated by CEUS (hyper, iso, hypo vascularity on arterial phase), and compared to contrast enhancement on the CT or MRI
|
Time: immediately
|
Subjective evaluation on the success of the procedure
Time Frame: immediately
|
Immediately after the procedure, the reliability of appropriate tissue collection for the viable portion is determined and recorded.
A score of 3-4 means that operator is expecting a successful enough tissue harvest, and a score of 1-2 means operator is not expecting proper tissue collection.
|
immediately
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Jeong Min Lee, MD, PhD, Seoul National University Hospital, Radiology department
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
June 2, 2020
Primary Completion (ANTICIPATED)
March 1, 2022
Study Completion (ANTICIPATED)
December 30, 2022
Study Registration Dates
First Submitted
July 20, 2020
First Submitted That Met QC Criteria
July 22, 2020
First Posted (ACTUAL)
July 27, 2020
Study Record Updates
Last Update Posted (ACTUAL)
April 8, 2021
Last Update Submitted That Met QC Criteria
April 6, 2021
Last Verified
April 1, 2021
More Information
Terms related to this study
Other Study ID Numbers
- H-2003-044-1108
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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