Standardized CEUS Algorithms for Diagnosis of HCC - Prospective German Multicenter Study

NCT ID: NCT03405909

Last Updated: 2021-03-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

517 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-04-21

Study Completion Date

2019-04-06

Brief Summary

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Aim of this prospective national multicenter study is to improve standardization of contrast-enhanced ultrasound (CEUS) in the non-invasive diagnosis of hepatocellular carcinoma (HCC) in high-risk patients.

The study is funded by the German Society for Ultrasound in Medicine (DEGUM).

Detailed Description

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To date, CEUS criteria for non-invasive diagnosis of HCC include arterial phase hyperenhancement, followed by contrast washout in the portal venous or late phase. We would like to investigate the following points:

1. whether arterial hyperenhancement alone is sufficient for the definite diagnosis of HCC in cirrhosis with CEUS
2. whether a further clearly-defined point of assessment in the late phase after 4-6 minutes is of additional diagnostic value in focal liver lesions showing no contrast washout after 3 minutes
3. diagnostic value of CEUS-based standardised diagnostic algorithms (ESCULAP = Erlanger Synopsis of Contrast Enhanced Ultrasound for Liver lesion Assessment in Patients at risk; CEUS LI-RADS = Contrast Enhanced Ultrasound Liver Imaging Reporting and Data System) for non-invasive diagnosis of HCC in high-risk patients (diagnostic accuracy, interobserver-variability, feasability in clinical Routine).

Conditions

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Hepatocellular Carcinoma Cholangiocarcinoma, Intrahepatic Liver Cirrhosis Liver Cancer Liver Neoplasms Liver Diseases

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients at risk for HCC

Patients with any of the following conditions:

liver cirrhosis of any origin chronic hepatitis B infection chronic hepatitis C infection with advanced fibrosis non-alcoholic steatohepatitis (NASH) hemochromatosis

Interventions: B-mode ultrasound, contrast enhanced ultrasound (CEUS); MRI / histology

contrast enhanced ultrasound (CEUS)

Intervention Type DIAGNOSTIC_TEST

CEUS with SonoVue following standardized protocol

MRI

Intervention Type DIAGNOSTIC_TEST

CE-MRI following standardized protocol

Histology

Intervention Type DIAGNOSTIC_TEST

diagnostic liver biopsy

Interventions

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contrast enhanced ultrasound (CEUS)

CEUS with SonoVue following standardized protocol

Intervention Type DIAGNOSTIC_TEST

MRI

CE-MRI following standardized protocol

Intervention Type DIAGNOSTIC_TEST

Histology

diagnostic liver biopsy

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* high risk for HCC
* focal liver lesion on B-mode ultrasound

Exclusion Criteria

* pre-treated HCC lesion
* systemic therapy for HCC (sorafenib, regorafenib and others)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Erlangen

OTHER

Sponsor Role lead

Responsible Party

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Dr. med. Barbara Schellhaas and Prof. Dr. med. Deike Strobel

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Barbara Schellhaas, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Erlangen, Department of Medicine 1

Deike Strobel, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Erlangen, Department of Medicine 1

Locations

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University Hospital Erlangen, Department of Medicine 1

Erlangen, Bavaria, Germany

Site Status

Countries

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Germany

Other Identifiers

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DEGUM CEUS HCC

Identifier Type: -

Identifier Source: org_study_id

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