Shear Wave Elastography in Differentiating Acute or Chronic Kidney Disease

NCT ID: NCT04404114

Last Updated: 2025-11-18

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

RECRUITING

Total Enrollment

800 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-02-01

Study Completion Date

2026-12-31

Brief Summary

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Chronic kidney disease is a common global public health issue and its prevalence increased year by year. Early diagnosis and intervention can prevent further complications and comorbidities of long-term dialysis, cardiovascular events and mortality as well as improve the patients' life quality. To differentiate acute from chronic kidney disease was crucial especially in the setting of crowded and high-risk emergency department. To diagnose acute or chronic kidney disease, physicians usually use blood sample test combined with image studies such as conventional sonography, CT and MRI. However, there was lots of limited factors. The patients may have no previous visit records, poor renal function to receive contrast medium, or critical clinical condition to undergo time-wasting exam. Although the conventional renal sonography is accessible and inexpensive, the judgement is subjective and provide little clinical information. Recent researches of shear wave elastography in evaluating renal parenchymal stiffness showed some correlation with nephropathy. In our study, aiming to facilitating clinical implication, the investigators will use swear-wave elastography combined with conventional renal sonography to benefit patients in diagnosis of acute or chronic kidney disease.

Detailed Description

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This is a case-control study. The investigators obtained data from participants who were older than 20 years old and received renal sonography examination in the emergency department of National Taiwan University Hospital. The investigators examined the participants' kidneys by recording the kidney size, cortical thickness, possible lesions and elasticity by shear-wave elastography. These data combined with the participants' medical history and renal function revealed by blood examination will be analyzed. This study was designed to determine the correlation between renal cortical elasticity and chronic kidney disease.

Conditions

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Elastography Chronic Kidney Diseases

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Normal renal function

Normal renal function

Shear wave elastography to distinguish AKI from normal kidney

Intervention Type DIAGNOSTIC_TEST

Record the patient's kidney size, cortical thickness, possible lesion by ordinary renal sonography as well as cortical elasticity by shear wave elastography

Acute kidney injury in normal kidney

Acute kidney injury in normal kidney

Shear wave elastography to distinguish AKI from normal kidney

Intervention Type DIAGNOSTIC_TEST

Record the patient's kidney size, cortical thickness, possible lesion by ordinary renal sonography as well as cortical elasticity by shear wave elastography

Acute kidney injury in chronic kidney disease

Acute kidney injury in chronic kidney disease

Shear wave elastography to distinguish AKI from CKD

Intervention Type DIAGNOSTIC_TEST

Record the patient's kidney size, cortical thickness, possible lesion by ordinary renal sonography as well as cortical elasticity by shear wave elastography

Chronic kidney disease

Chronic kidney disease

Shear wave elastography to distinguish CKD from normal kidney

Intervention Type DIAGNOSTIC_TEST

Record the patient's kidney size, cortical thickness, possible lesion by ordinary renal sonography as well as cortical elasticity by shear wave elastography

Interventions

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Shear wave elastography to distinguish AKI from normal kidney

Record the patient's kidney size, cortical thickness, possible lesion by ordinary renal sonography as well as cortical elasticity by shear wave elastography

Intervention Type DIAGNOSTIC_TEST

Shear wave elastography to distinguish AKI from CKD

Record the patient's kidney size, cortical thickness, possible lesion by ordinary renal sonography as well as cortical elasticity by shear wave elastography

Intervention Type DIAGNOSTIC_TEST

Shear wave elastography to distinguish CKD from normal kidney

Record the patient's kidney size, cortical thickness, possible lesion by ordinary renal sonography as well as cortical elasticity by shear wave elastography

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* The patients older than 20 years old who needed to receive renal sonography in emergency department of National Taiwan University Hospital.

Exclusion Criteria

* The patients who didn't obtain agreement.
* The patients who can't cooperate or follow the directions
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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National Taiwan University Hospital

Taipei, , Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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Wan C. Lien, A.P

Role: CONTACT

+886 972651315

Jia Yu Chen, Resident

Role: CONTACT

+886 972652447

Facility Contacts

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Wan-Ching Lien, MD., PhD

Role: primary

+886-2-23123456 ext. 65637

Jia-Yu Chen, MD.

Role: backup

Other Identifiers

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202001091RINC

Identifier Type: -

Identifier Source: org_study_id

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