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Patients treated with platinum-based chemotherapy drugs have the probability of developing PSVD. The diagnosis of PSVD depends on liver biopsy. In addition, the level of portal vein pressure has guiding value in the diagnosis and prognosis of PSVD. Many studies have shown that liver and spleen stiffness have high accuracy in diagnosis and prognosis. The purpose of this study is to evaluate the efficacy of the combination of liver and spleen stiffness in the diagnosis of PSVD and to search for effective biomarkers for the diagnosis of PSVD through a single-center, prospective, observational study.
PSVD is a supplement to non-cirrhotic portal hypertension and is defined as a class of diseases with characteristic pathological changes based on portal vein or hepatic sinuses abnormalities without cirrhosis. Some patients treated with platinum-based chemotherapy drugs will develop PSVD, which is clinically manifested as portal hypertension related complications. The diagnosis of PSVD depends on liver biopsy. In addition, the level of portal vein pressure has guiding value in the diagnosis and prognosis of PSVD. However, liver biopsy and pressure measurement are invasive methods. Many studies have shown that liver and spleen stiffness have high accuracy in diagnosis and prognosis. The purpose of this study is to evaluate the efficacy of the combination of liver and spleen stiffness in the diagnosis of PSVD and to search for effective biomarkers for the diagnosis of PSVD through a single-center, prospective, observational study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients who have received platinum-based chemotherapy for organ tumors |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| liver and stiffness measurement | Diagnostic Test | liver and spleen stiffness measurement are non-invasive tools for evaluation of cirrhosis and portal hypertension |
|
| Measure | Description | Time Frame |
|---|---|---|
| Searching for valid non-invasive tools for the diagnosis of PSVD | The sensitivity and specificity of the non-invasive models for the diagnosis of PSVD reached 85% and 60%, respectively | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Patients developed portal-hypertension-related complications | clinically significant ascites, esophagogastric variceal hemorrhage, hepatic encephalopathy, etc. | 3 years |
| Patients died | All-cause death |
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Inclusion Criteria:
Exclusion Criteria:
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Patients had organ tumors and had received platinum chemotherapy before, the expected survival time is not less than half of year.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaofeng Zhang | Contact | +8618565552050 | 1282614092@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiaofeng Zhang | Nanfang Hospital, Southern Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanfang hospital, Southern Medical Uiversity | Recruiting | Guangzhou | Guangdong | 510080 | China |
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| ID | Term |
|---|---|
| D000094724 | Idiopathic Noncirrhotic Portal Hypertension |
| ID | Term |
|---|---|
| D006975 | Hypertension, Portal |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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| 3 years |
| Patients underwent liver transplantation | Patients underwent liver transplantation during follow up | 3 years |
| Patients reached the final follow-up time | Patients had accepted 3-year follow up | 3 years |