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The purpose of this study is to investigate clinical feasibility of annual non-contrast magnetic resonance imaging for surveillance of hepatocellular carcinoma in high-risk group, in comparison with biannual ultrasonography.
The purpose of this study is to investigate clinical feasibility of annual non-contrast magnetic resonance imaging for surveillance of hepatocellular carcinoma in high-risk group, in comparison with biannual ultrasonography. In addition, the relationship between non-contrast MR parameters and clinical manifestation of liver function is investigated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LC group | Experimental | LC group under surveillance of biannual ultrasonography and annual noncontrast liver MRI. Six month after the last MRI, contrast enhanced liver CT is performed to investigate presence of HCC. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Biannual ultrasonography | Procedure | Biannual ultrasonography for HCC surveillance, performed by board-certified radiologists. |
|
| Measure | Description | Time Frame |
|---|---|---|
| sensitivity for detecting HCC | 6 months after last patient's MRI |
| Measure | Description | Time Frame |
|---|---|---|
| specificity for detecting HCC | 6 months after last patient's MRI |
| Measure | Description | Time Frame |
|---|---|---|
| Apparent diffusion coefficient (ADC) | calculated value from diffusion weighted image with different protocols (conventional, simultaneous multishot) | 1 month after each MR scan |
| T2 relaxation time | calculated value from T2 map |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jeong Min Lee, MD | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | South Korea |
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| Annual noncontrast liver MRI | Procedure | Annual noncontrast liver MRI consisted of T2WI, precontrast T1WI, dual-echo image, DWI (single shot, multishot) and T2 map. DWI using multishot and T2 map are not included for initial MR reading. |
|
| Contrast enhanced liver CT | Procedure | In patients without report of HCC during surveillance period, contrast CT is performed 6 months after the last MR scan. |
|
| 1 month after MR scan |
| ID | Term |
|---|---|
| D005355 | Fibrosis |
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
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