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| Name | Class |
|---|---|
| National Research Foundation of Korea | OTHER |
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Liver function is a key factor that can help predict the clinical outcome in patients with cirrhosis. Traditionally, liver function was measured using either indocyanine green (ICG) or other radionucleotides. Recently, gadoxetic acid has been reported to show liver function in several studies. There have been several approaches to measure liver function using gadoxetic acid, and hepatocyte fraction is one of the promising methods. Since gadoxetic acid enhanced liver MRI is clinically used world widely, it would be valuable if we can measure liver function using hepatocyte fraction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CLD and LC | Experimental | Patients with underlying chronic liver disease. Gadoxetic acid enhanced liver MRI and ICG R15 are performed in this group. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| gadoxetic acid enhanced liver MRI | Drug | Gadoxetic acid enhanced liver MRI is performed and the standard dose of contrast media (0.025mmol/kg) is administered intravenously at a rate of 1mL/sec. Before and after contrast media injection, T1 map sequence is performed to calculate hepatocyte fraction. Routine MR sequences (T2WI, T1WI, dual-echo sequence, DWI, MR elastography) are performed according to clinical protocol in the institution. |
| Measure | Description | Time Frame |
|---|---|---|
| Liver function assessed by hepatocyte fraction | hepatocyte fraction obtained by T1 map sequence | 1 month after MRI |
| Measure | Description | Time Frame |
|---|---|---|
| Liver function assessed by ICG R15 test | 3 days after MRI | |
| Hepatocyte uptake rate | calculated hepatic uptake rate from T1 map sequence at MRI | 1 month after MRI |
| Measure | Description | Time Frame |
|---|---|---|
| Liver stiffness value (kPa) | liver stiffness from MR elastography | 1 month after MRI |
| Spleen stiffness value (kPa) | spleen stiffness from MR elastography |
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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| ID | Term |
|---|---|
| D005355 | Fibrosis |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C073590 | gadolinium ethoxybenzyl DTPA |
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gadoxetic acid MRI and ICG R15 test
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| ICG R15 | Drug | ICG R15 (Indocyanine green retention test) is performed within 3 days after gadoxetic acid liver MRI, according to clinical standard protocol. |
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| 1 month after MRI |
| adverse effect after contrast media administration | within an hour after contrast media administration |
| adverse effect after ICG administration | within an hour after ICG administration |
| T2* value (msec) | T2 star value obtained from Dixon sequence before and after contrast media administration | 1 month after MRI |
| Bile duct excretion of contrast media on hepatobiliary phase | five point scale (1: no visualization, 5: opacification of 2nd branch~CBD) | 1 month after MRI |
| ADC | apparent diffusion coefficient from DWI sequence using multiple b-values (0~800sec/mm2) | 1 month after MRI |
| D | true diffusion coefficient from DWI sequence using multiple b-values (0~800sec/mm2) | 1 month after MRI |
| D* | pseudodiffusion coefficient from DWI sequence using multiple b-values (0~800sec/mm2) | 1 month after MRI |
| f | perfusion fraction (%) from DWI sequence using multiple b-values (0~800sec/mm2) | 1 month after MRI |