Trial Outcomes & Findings for Detection of Liver Fibrosis With Magnetic Resonance Imaging (MRI) (NCT NCT01600105)
NCT ID: NCT01600105
Last Updated: 2020-02-07
Results Overview
Sub-Study I Portal Venous Flow - forward flow during systole and early diastole, and flow reversal after atrial contraction.The average PV area was extracted, and PV flow was computed as the multiplication of area and velocity.
COMPLETED
PHASE4
276 participants
Fasting State Scan (an average of 15 min) and Postprandial State Scan (an average of 15 min)
2020-02-07
Participant Flow
Recruitment began in May 2010, with enrollment from October 2010 through February 2017. Patients were recruited from the Division of Liver Diseases or from the Surgical Oncology Clinic at Mount Sinai.
Participant milestones
| Measure |
Chronic Liver Disease Patients
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Sub Study I: Patients were enrolled in the study if they had a liver biopsy performed within 3 months of the MRI study or were diagnosed with liver cirrhosis based on imaging findings.
Sub Study II: Patients with mixed etiology of liver fibrosis proven by biopsy, and/or liver cirrhosis.
Sub study III: Patients with chronic liver disease who underwent invasive hepatic vein pressure gradient (HVPG) measurement
|
Healthy Volunteers
Healthy Volunteer for Sub study I
|
|---|---|---|
|
Total Participants
STARTED
|
255
|
21
|
|
Total Participants
COMPLETED
|
214
|
11
|
|
Total Participants
NOT COMPLETED
|
41
|
10
|
|
Sub Study I
STARTED
|
19
|
21
|
|
Sub Study I
COMPLETED
|
19
|
11
|
|
Sub Study I
NOT COMPLETED
|
0
|
10
|
|
Sub Study II
STARTED
|
65
|
0
|
|
Sub Study II
COMPLETED
|
60
|
0
|
|
Sub Study II
NOT COMPLETED
|
5
|
0
|
|
Sub Study III
STARTED
|
39
|
0
|
|
Sub Study III
COMPLETED
|
34
|
0
|
|
Sub Study III
NOT COMPLETED
|
5
|
0
|
|
Sub Study IV
STARTED
|
41
|
8
|
|
Sub Study IV
COMPLETED
|
41
|
8
|
|
Sub Study IV
NOT COMPLETED
|
0
|
0
|
|
Sub Study V
STARTED
|
52
|
0
|
|
Sub Study V
COMPLETED
|
50
|
0
|
|
Sub Study V
NOT COMPLETED
|
2
|
0
|
Reasons for withdrawal
| Measure |
Chronic Liver Disease Patients
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Sub Study I: Patients were enrolled in the study if they had a liver biopsy performed within 3 months of the MRI study or were diagnosed with liver cirrhosis based on imaging findings.
Sub Study II: Patients with mixed etiology of liver fibrosis proven by biopsy, and/or liver cirrhosis.
Sub study III: Patients with chronic liver disease who underwent invasive hepatic vein pressure gradient (HVPG) measurement
|
Healthy Volunteers
Healthy Volunteer for Sub study I
|
|---|---|---|
|
Total Participants
Withdrawal by Subject
|
1
|
0
|
|
Total Participants
No images in PACS
|
10
|
0
|
|
Total Participants
Insufficient image quality
|
30
|
10
|
|
Sub Study I
Insufficient image quality
|
0
|
10
|
|
Sub Study II
Withdrawal by Subject
|
1
|
0
|
|
Sub Study II
No images in PACS
|
1
|
0
|
|
Sub Study II
Insufficient image quality
|
3
|
0
|
|
Sub Study III
Insufficient image quality
|
5
|
0
|
|
Sub Study V
Poor Image Quality
|
2
|
0
|
Baseline Characteristics
Sub-study II with 60 participants
Baseline characteristics by cohort
| Measure |
Perfusion MRI
n=214 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
n=11 Participants
Healthy Volunteers in Sub study I only
|
Total
n=225 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Sex: Female, Male
Female
|
20 Participants
n=52 Participants • Sub Study V had 52 participants
|
5 Participants
n=8 Participants • Sub Study IV had 49 participants
|
20 Participants
n=52 Participants • Sub Study V had 52 participants
|
|
Age, Continuous
|
53.8 years
n=214 Participants
|
30.6 years
n=11 Participants
|
51.8 years
n=225 Participants
|
|
Age, Customized
Sub Study I Chronic Hepatitis C patients
|
55.8 years
n=19 Participants • 30 Participants in Sub Study I: 11 healthy volunteers and 19 patients
|
30.6 years
n=11 Participants • 30 Participants in Sub Study I: 11 healthy volunteers and 19 patients
|
46.5 years
n=30 Participants • 30 Participants in Sub Study I: 11 healthy volunteers and 19 patients
|
|
Age, Customized
Sub Study II
|
55 years
n=60 Participants • Sub-Study II with 60 participants
|
—
|
55 years
n=60 Participants • Sub-Study II with 60 participants
|
|
Age, Customized
Sub Study III
|
53 years
n=34 Participants • Sub-Study III 34 participants who underwent HVPG measurements
|
—
|
53 years
n=34 Participants • Sub-Study III 34 participants who underwent HVPG measurements
|
|
Age, Customized
Sub Study IV
|
53 years
n=41 Participants • Sub Study IV had 49 participants - 41 with chronic liver disease and 8 healthy volunteers
|
29 years
n=8 Participants • Sub Study IV had 49 participants - 41 with chronic liver disease and 8 healthy volunteers
|
48 years
n=49 Participants • Sub Study IV had 49 participants - 41 with chronic liver disease and 8 healthy volunteers
|
|
Age, Customized
Sub Study V
|
57 years
n=52 Participants • Sub Study V had 52 participants
|
—
|
57 years
n=52 Participants • Sub Study V had 52 participants
|
|
Sex: Female, Male
Male
|
32 Participants
n=52 Participants • Sub Study V had 52 participants
|
3 Participants
n=8 Participants • Sub Study IV had 49 participants
|
32 Participants
n=52 Participants • Sub Study V had 52 participants
|
|
Sex: Female, Male
Chronic Hepatitis C patients · Female
|
2 Participants
n=19 Participants • 30 Participants in Sub Study I
|
5 Participants
n=11 Participants • 30 Participants in Sub Study I
|
7 Participants
n=30 Participants • 30 Participants in Sub Study I
|
|
Sex: Female, Male
Chronic Hepatitis C patients · Male
|
17 Participants
n=19 Participants • 30 Participants in Sub Study I
|
6 Participants
n=11 Participants • 30 Participants in Sub Study I
|
23 Participants
n=30 Participants • 30 Participants in Sub Study I
|
|
Race/Ethnicity, Customized
White
|
105 Participants
n=214 Participants • Participants who completed study.
|
3 Participants
n=11 Participants • Participants who completed study.
|
108 Participants
n=225 Participants • Participants who completed study.
|
|
Race/Ethnicity, Customized
Asian
|
31 Participants
n=214 Participants • Participants who completed study.
|
1 Participants
n=11 Participants • Participants who completed study.
|
32 Participants
n=225 Participants • Participants who completed study.
|
|
Race/Ethnicity, Customized
Black or African American
|
20 Participants
n=214 Participants • Participants who completed study.
|
5 Participants
n=11 Participants • Participants who completed study.
|
25 Participants
n=225 Participants • Participants who completed study.
|
|
Race/Ethnicity, Customized
Hispanic
|
38 Participants
n=214 Participants • Participants who completed study.
|
2 Participants
n=11 Participants • Participants who completed study.
|
40 Participants
n=225 Participants • Participants who completed study.
|
|
Race/Ethnicity, Customized
Unknown
|
20 Participants
n=214 Participants • Participants who completed study.
|
0 Participants
n=11 Participants • Participants who completed study.
|
20 Participants
n=225 Participants • Participants who completed study.
|
PRIMARY outcome
Timeframe: Fasting State Scan (an average of 15 min) and Postprandial State Scan (an average of 15 min)Sub-Study I Portal Venous Flow - forward flow during systole and early diastole, and flow reversal after atrial contraction.The average PV area was extracted, and PV flow was computed as the multiplication of area and velocity.
Outcome measures
| Measure |
Chronic Hep C Patients
n=19 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
n=11 Participants
No Hep C
|
|---|---|---|
|
PV Flow
Fasting
|
16.0 ml/s
Standard Deviation 6.1
|
15.5 ml/s
Standard Deviation 4.2
|
|
PV Flow
Postprandial
|
23.2 ml/s
Standard Deviation 8.5
|
27.1 ml/s
Standard Deviation 10.2
|
PRIMARY outcome
Timeframe: Fasting State Scan (an average of 15 min) and Postprandial State Scan (an average of 15 min)Sub-Study I Portal Venous Flow Velocity - The mean velocity of the region of interest (ROI) was extracted for each one of the 25 phase images, and the time average was computed.
Outcome measures
| Measure |
Chronic Hep C Patients
n=19 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
n=11 Participants
No Hep C
|
|---|---|---|
|
PV Velocity
Fasting
|
10.5 cm/s
Standard Deviation 3.2
|
11.5 cm/s
Standard Deviation 2.8
|
|
PV Velocity
Postprandial
|
12.8 cm/s
Standard Deviation 4.6
|
14.4 cm/s
Standard Deviation 3.2
|
PRIMARY outcome
Timeframe: Fasting State Scan (an average of 15 min) and Postprandial State Scan (an average of 15 min)Population: Sub Study I with 30 participants. The method failed in 3 of the patients, so no usable LS-MRE data was generated. 27 patients had usable data for PV flow and velocity, so they were included in the study.
Sub-Study I Liver stiffness (LS) measured by magnetic resonance elastography (MRE) in kilopascal (kPa). Liver stiffness is assessed by mathematical modeling of compression waves propagation in the liver, as measured from MRE images.
Outcome measures
| Measure |
Chronic Hep C Patients
n=19 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
n=11 Participants
No Hep C
|
|---|---|---|
|
LS-MRE for Sub-Study I
Fasting
|
4.9 kPa
Standard Deviation 1.4
|
1.8 kPa
Standard Deviation 0.2
|
|
LS-MRE for Sub-Study I
Postprandial
|
5.0 kPa
Standard Deviation 1.2
|
2.0 kPa
Standard Deviation 0.2
|
PRIMARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min) ScanPopulation: 3 participants with scans not evaluable
Sub-Study II True Diffusion Parameter - D- describes water diffusion in tissue independently from the effects of capillary perfusion; it is obtained from bi-exponential fitting of MRI diffusion signal acquired over a range of high and low diffusion-weighting factors (b-values) Fibrosis State/Score: F0-F2 - no signs of fibrosis to minimal fibrosis F3-F4 - fibrosis has spread and has connected to other areas on the liver that contain fibrosis or presence of cirrhosis
Outcome measures
| Measure |
Chronic Hep C Patients
n=57 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
True Diffusion Parameter (D)
F0-F2
|
1.06 10^-3 mm^2/s
Standard Deviation 0.21
|
—
|
|
True Diffusion Parameter (D)
F3-F4
|
0.94 10^-3 mm^2/s
Standard Deviation 0.16
|
—
|
PRIMARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: Only 38 participants had suitable MRE quality for analysis.
Sub-Study II Liver stiffness (LS) measured by magnetic resonance elastography (MRE) in kilopascal (kPa). Liver stiffness is assessed by mathematical modeling of compression waves propagation in the liver, as measured from MRE images. Fibrosis State/Score: F0-F2 - no signs of fibrosis to minimal fibrosis F3-F4 - fibrosis has spread and has connected to other areas on the liver that contain fibrosis or presence of cirrhosis
Outcome measures
| Measure |
Chronic Hep C Patients
n=38 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
LS-MRE Fibrosis State for Sub Study II
F0-F2
|
2.88 kPa
Standard Deviation 0.91
|
—
|
|
LS-MRE Fibrosis State for Sub Study II
F3-F4
|
5.16 kPa
Standard Deviation 0.95
|
—
|
PRIMARY outcome
Timeframe: Fasting transient elastography, average duration 10 minPopulation: Only 46 participants had suitable TE quality for analysis.
Sub-Study II Liver Stiffness with transient elastography (TE) (LS-TE) - a non-invasive modality of liver fibrosis detection: a shear wave is sent into the liver through a small transducer attached to an ultrasound probe, and the velocity of the wave is measured as it passes through the liver; shear wave velocity is then converted to stiffness, measured in kilopascals (kPa) Fibrosis State/Score: F0-F2 - no signs of fibrosis to minimal fibrosis F3-F4 - fibrosis has spread and has connected to other areas on the liver that contain fibrosis or presence of cirrhosis
Outcome measures
| Measure |
Chronic Hep C Patients
n=46 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
LS-TE
F0-F2
|
9.55 kPa
Standard Deviation 6.85
|
—
|
|
LS-TE
F3-F4
|
21.44 kPa
Standard Deviation 17.86
|
—
|
PRIMARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: Only 50 participants had suitable quality MRI for analysis
Sub-Study II Mean Transit Time (MTT) - Liver Mean Transit Time of Contrast Agent through the tissue of interest from Dynamic Contrast Enhanced MRI Fibrosis State/Score: F0-F2 - no signs of fibrosis to minimal fibrosis F3-F4 - fibrosis has spread and has connected to other areas on the liver that contain fibrosis or presence of cirrhosis
Outcome measures
| Measure |
Chronic Hep C Patients
n=50 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
MTT
F0-F2
|
11.6 seconds
Standard Deviation 8.1
|
—
|
|
MTT
F3-F4
|
18.8 seconds
Standard Deviation 9.1
|
—
|
SECONDARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: Among the 34 patients, 2 patients did not have DCE-MRI acquisition due to chronic renal insufficiency, 4 patients had non-usable DCE-MRI data because of major artifacts.
Sub-Study III Liver Upslope of MRI signal is defined as peak concentration to the time to reach peak concentration of gadolinium contrast agent in the liver tissue of interest, derived from dynamic contrast-enhanced MRI (DCE-MRI. Portal hypertension (PH), defined by hepatic venous pressure gradient (HVPG) ≥5 mmHg Clinically Significant Portal hypertension (CSPH), defined by hepatic venous pressure gradient (HVPG) ≥10 mmHg
Outcome measures
| Measure |
Chronic Hep C Patients
n=28 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
Liver Upslope From DCE-MRI
HVPG <5mmHg
|
0.011 mmol/(L.s))
Standard Deviation 0.011
|
—
|
|
Liver Upslope From DCE-MRI
HVPG>=5mmHg
|
0.0007 mmol/(L.s))
Standard Deviation 0.0007
|
—
|
|
Liver Upslope From DCE-MRI
HPVG<10mmHg
|
0.011 mmol/(L.s))
Standard Deviation 0.007
|
—
|
|
Liver Upslope From DCE-MRI
HPVG>=10mmHg
|
0.0006 mmol/(L.s))
Standard Deviation 0.004
|
—
|
SECONDARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: Among the 34 patients, 2 patients did not have DCE-MRI acquisition due to chronic renal insufficiency, 4 patients had non-usable DCE-MRI data because of major artifacts..
Sub-Study III Liver Time to Peak (TTP) is defined as the time in seconds to reach peak concentration of gadolinium contrast agent in the liver tissue of interest, derived from dynamic contrast-enhanced MRI (DCE-MRI) Portal hypertension (PH), defined by hepatic venous pressure gradient (HVPG) ≥5 mmHg Clinically Significant Portal Hypertension is defined as an HVPG ≥10 mmHg
Outcome measures
| Measure |
Chronic Hep C Patients
n=28 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
Liver Time to Peak (TTP) for PH
HVPG<10mmHg
|
41.47 seconds
Standard Deviation 25.76
|
—
|
|
Liver Time to Peak (TTP) for PH
HVPG>=10mmHg
|
69.45 seconds
Standard Deviation 41.98
|
—
|
|
Liver Time to Peak (TTP) for PH
HVPG<5mmHg
|
40.99 seconds
Standard Deviation 22.20
|
—
|
|
Liver Time to Peak (TTP) for PH
HVPG>=5mmHg
|
53.02 seconds
Standard Deviation 31.8
|
—
|
SECONDARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: MRE was successful for liver stiffness measurements in 31 participants of the 34
Sub-Study III Liver stiffness (LS) measured by magnetic resonance elastography (MRE) in kilopascal (kPa). Liver stiffness is assessed by mathematical modeling of compression waves propagation in the liver, as measured from MRE images. Portal Hypertension is defined as an HVPG ≥5 mmHg Clinically Significant Portal hypertension (CSPH), defined by hepatic venous pressure gradient (HVPG) ≥10 mmHg
Outcome measures
| Measure |
Chronic Hep C Patients
n=31 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
LS-MRE Portal Hypertension for Sub Study III
HVPG<5mmHg
|
2.31 kPa
Standard Deviation 2.8
|
—
|
|
LS-MRE Portal Hypertension for Sub Study III
HVPG>=5mmHg
|
5.14 kPa
Standard Deviation 2.57
|
—
|
|
LS-MRE Portal Hypertension for Sub Study III
HVPG<10mmHg
|
3.88 kPa
Standard Deviation 3.16
|
—
|
|
LS-MRE Portal Hypertension for Sub Study III
HVPG>=10mmHg
|
5.86 kPa
Standard Deviation 6.71
|
—
|
SECONDARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: Sub Study III with 34 participants
Sub-Study III Portal Hypertension is defined as an HVPG ≥5 mmHg
Outcome measures
| Measure |
Chronic Hep C Patients
n=34 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
Spleen Volume
HVPG<5mmHg
|
246 cm^3
Standard Deviation 252
|
—
|
|
Spleen Volume
HVPG>=5mmHg
|
441 cm^3
Standard Deviation 629
|
—
|
SECONDARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: Sub Study III with 34 participants
Sub-Study III Portal Hypertension is defined as an HVPG ≥5 mmHg
Outcome measures
| Measure |
Chronic Hep C Patients
n=34 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
Spleen Caudocranial Diameter
HVPG<5mmHg
|
11.6 cm
Standard Deviation 2.8
|
—
|
|
Spleen Caudocranial Diameter
HVPG>=5mmHg
|
14.0 cm
Standard Deviation 4.8
|
—
|
SECONDARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: Sub Study III with 34 participants
Sub-Study III Portal Hypertension imaging composite score (based on the presence of varices, spleen size, presence of ascites). The imaging score is based on the number of variceal sites (0: absence of varices, 1: one variceal site, 2: two variceal sites, and 3: 3 or more variceal sites), volume of ascites (0: no ascites, 1: minimal perihepatic and perisplenic fluid, 2: intraperitoneal fluid without marked abdominal wall distension, and 3: fluid causing marked abdominal wall distension), and maximum craniocaudal diameter of the spleen (0: size less than 13 cm, 1: size between 13 and 15 cm, 2: size between 15 and 20 cm, and 3: size greater than 20 cm). Score from 0 to 9, with higher score indicating worse disease. Portal Hypertension is defined as an HVPG ≥5 mmHg Clinically Significant Portal hypertension (CSPH), defined by hepatic venous pressure gradient (HVPG) ≥10 mmHg
Outcome measures
| Measure |
Chronic Hep C Patients
n=34 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
PH Imaging Score
HVPG>=5mmHg
|
2 score on a scale
Standard Deviation 5.25
|
—
|
|
PH Imaging Score
HVPG<10
|
1 score on a scale
Standard Deviation 1.5
|
—
|
|
PH Imaging Score
HVPG>=10
|
4 score on a scale
Standard Deviation 4.5
|
—
|
|
PH Imaging Score
HVPG<5mmHg
|
0 score on a scale
Standard Deviation 1
|
—
|
SECONDARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: 31 of the 34 participants had LS-MRE and 28 of the 34 participants had Liver Upslope measurement from DCE-MRI
Sub-Study III Liver Stiffness to Liver Upslope ratio (LSLU) Portal Hypertension is defined as an HVPG ≥5 mmHg Clinically Significant Portal hypertension (CSPH), defined by hepatic venous pressure gradient (HVPG) ≥10 mmHg
Outcome measures
| Measure |
Chronic Hep C Patients
n=28 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
LSLU
HVPG<5mmHg
|
192.72 kPa*s*L/mmol
Standard Deviation 195.65
|
—
|
|
LSLU
HVPG>=5mmHg
|
830.28 kPa*s*L/mmol
Standard Deviation 971.68
|
—
|
|
LSLU
HVPG<10mmHg
|
363.68 kPa*s*L/mmol
Standard Deviation 855.01
|
—
|
|
LSLU
HVPG>10mmHg
|
871.82 kPa*s*L/mmol
Standard Deviation 1354.31
|
—
|
SECONDARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: Among the 34 patients, 2 patients did not have DCE-MRI acquisition due to chronic renal insufficiency, 4 patients had non-usable DCE-MRI data because of major artifacts.
Sub Study III Liver Distribution Volume (DV) is the distribution volume of contrast agent in the tissue of interest defined as a percentage ratio of gadolinium material volume to the volume of the liver tissue of interest, as derived from DCE-MRI; in the case of a contrast agent with extracellular distribution, DV measures the intravascular and extravascular-extracellular volume. Clinically Significant Portal hypertension (CSPH), defined by hepatic venous pressure gradient (HVPG) ≥10 mmHg
Outcome measures
| Measure |
Chronic Hep C Patients
n=28 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
Liver DV
HVPG<10mmHg
|
47.28 percentage of liver volume
Standard Deviation 24.29
|
—
|
|
Liver DV
HVPG>=10mmHg
|
77.25 percentage of liver volume
Standard Deviation 111.01
|
—
|
SECONDARY outcome
Timeframe: Fasting State Multiparametric MRI Scan (an average of 60 min)Population: Among the 34 patients, 2 patients did not have DCE-MRI acquisition due to chronic renal insufficiency, 4 patients had non-usable DCE-MRI data because of major artifacts.
Sub Study III Spleen Time To Peak (TTP) - time to reach peak gadolinium concentration in spleen tissue of interest, derived from DCE-MRI. Clinically Significant Portal hypertension (CSPH), defined by hepatic venous pressure gradient (HVPG) ≥10 mmHg
Outcome measures
| Measure |
Chronic Hep C Patients
n=28 Participants
chronic liver disease who underwent/will undergo liver biopsy or will undergo liver transplant or liver resection as part of standard care during the previous 6 months.
Perfusion MRI: 1) Assess the role of a new FDA approved blood pool gadolinium contrast agent (gadofosveset trisodium, Ablavar, Lantheus) for the measurement of liver MR Perfusion, compared to extra-cellular contrast agents.
|
Healthy Volunteers
No Hep C
|
|---|---|---|
|
Spleen TTP
HVPG<10mmHg
|
15.46 seconds
Standard Deviation 16.65
|
—
|
|
Spleen TTP
HVPG>=10mmHg
|
44.90 seconds
Standard Deviation 40.69
|
—
|
Adverse Events
Sub Study 1 Chronic Hep C Patients
Sub Study 1 Health Volunteers
Sub Study II
Sub Study III
Total Participants of the Substudies
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Sub Study 1 Chronic Hep C Patients
n=19 participants at risk
Quantitative Liver MRI Combining Phase Contrast Imaging, Elastography, and DWI: Assessment of Reproducibility and Postprandial Effect Description: Patients with liver disease who had portal vein (PV) flow parameters measured with phase contrast (PC) imaging, liver diffusion parameters measured with multiple b value diffusion-weighted imaging (DWI) and liver stiffness (LS) measured with MR elastography (MRE) in fasting conditions and after a meal challenge.
|
Sub Study 1 Health Volunteers
n=11 participants at risk
Quantitative Liver MRI Combining Phase Contrast Imaging, Elastography, and DWI: Assessment of Reproducibility and Postprandial Effect Description: Healthy volunteers who had portal vein (PV) flow parameters measured with phase contrast (PC) imaging, liver diffusion parameters measured with multiple b value diffusion-weighted imaging (DWI) and liver stiffness (LS) measured with MR elastography (MRE) in fasting conditions and after a meal challenge.
|
Sub Study II
n=60 participants at risk
Arm/Group Title: Prospective Comparison of Magnetic Resonance Imaging to Transient Elastography and Serum Markers for Liver Fibrosis Detection Description: Chronic liver disease patients who underwent a multiparametric magnetic resonance imaging (MRI) protocol including diffusion�\\weighted imaging (DWI), dynamic contrast�\\enhanced (DCE)�\\MRI and magnetic resonance elastography (MRE) in comparison with transient elastography (TE) for liver fibrosis detection.
|
Sub Study III
n=34 participants at risk
Noninvasive Prediction of Portal Pressure with MR Elastography and DCE�\\MRI of the Liver and Spleen Description: Chronic liver disease patients who underwent HVPG measurement, MR elastography (MRE) and dynamic contrast�\\enhanced MRI (DCE�\\MRI) of the liver and spleen
|
Total Participants of the Substudies
n=124 participants at risk
Total participants of Sub Study 1, Sub Study II, and Sub Study III
|
|---|---|---|---|---|---|
|
Skin and subcutaneous tissue disorders
Rash
|
0.00%
0/19 • 6 years
|
0.00%
0/11 • 6 years
|
1.7%
1/60 • 6 years
|
0.00%
0/34 • 6 years
|
0.81%
1/124 • 6 years
|
|
Nervous system disorders
Fainting
|
0.00%
0/19 • 6 years
|
0.00%
0/11 • 6 years
|
1.7%
1/60 • 6 years
|
0.00%
0/34 • 6 years
|
0.81%
1/124 • 6 years
|
Additional Information
Dr. Bachir Taouli
Icahn School of Medicine at Mount Sinai
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place