A Comparison of Contrast Enhanced Ultrasound (CEUS) and Contrast Enhanced Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) for Characterization of Focal Liver Masses

This study is currently recruiting participants.
Verified March 2012 by Foothills Medical Centre
Sponsor:
Collaborators:
Vancouver General Hospital
London Health Sciences Centre
Centre Hospitalier de l'Université de Montréal
Information provided by (Responsible Party):
Stephanie R Wilson, MD, Foothills Medical Centre
ClinicalTrials.gov Identifier:
NCT00828607
First received: January 23, 2009
Last updated: March 1, 2012
Last verified: March 2012

January 23, 2009
March 1, 2012
January 2009
December 2012   (final data collection date for primary outcome measure)
Malignancy of the liver mass, as determined on US, on CEUS, and on CECT or CEMRI. [ Time Frame: 6-9 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00828607 on ClinicalTrials.gov Archive Site
Diagnosis of the liver mass, as determined on US, on CEUS, and on CECT or CEMRI. [ Time Frame: 6-9 months ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
A Comparison of Contrast Enhanced Ultrasound (CEUS) and Contrast Enhanced Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) for Characterization of Focal Liver Masses
Characterization of Liver Masses With Contrast Enhanced Ultrasound (CEUS): A Comparison With Standard Institutional Contrast Enhanced CT (CECT) or MR Scan (CEMRI)

This comparison study is performed to show equivalence of CEUS with CECT or CEMR to diagnose noninvasively focal liver masses. This is a multi-center prospective cohort study of 250 subjects, which will be performed at four institutions in Canada. Subjects with a focal liver mass, measuring at least 2.5 centimeters in maximal diameter, will undergo a conventional baseline sonogram followed by a contrast enhanced ultrasound (CEUS). CEUS will be performed on standard ultrasound scanners with contrast specific imaging capability. The contrast agent used is Definity( Lantheus Medical Imaging, Billerica,MA) All subjects will have either a dedicated hepatic contrast enhanced CT or MR scan within 60 days of the CEUS as per the standard of care in the institution. Anonymized image files from all imaging will be shown independently to two readers, blinded to all clinical and demographic data, who will predict malignancy and diagnosis.

Not Provided
Observational
Observational Model: Cohort
Time Perspective: Prospective
Not Provided
Not Provided
Probability Sample

Any patient with an unknown liver mass

Liver Tumors
Not Provided
liver mass
The group will comprise any patients with an unknown liver mass at the time of diagnostic imaging.
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
250
December 2012
December 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • An incidental liver mass amenable to US evaluation
  • Undiagnosed liver mass
  • Mass threshold size is 2.5 cm
  • Source of subjects:

    • Liver mass found on conventional institutional US
    • Liver mass detected on CT and MRI that remain uncategorized
    • Referral of patient with a liver mass following detection in outside institution.
  • Confirmatory CT or MRI performed within 60 days of initial scan according to the institutional protocols

Exclusion Criteria:

  • Any known pre existing mass
  • Pregnancy
  • Severe or unstable cardiac disease, including angina, congestive heart failure, or arrhythmias
  • Severe COPD
  • Pulmonary hypertension
  • Bidirectional shunts
  • Transient right to left shunts
  • Known hypersensitivity to Definity or any of its components
Both
18 Years to 90 Years
No
Contact: Stephanie R Wilson, MD 403 944 2680 stephanie.wilson@albertahealthservices.ca
Contact: Sharron Martel 403 944 2116 sharron.martel@albertahealthservices.ca
Canada
 
NCT00828607
(Ethics ID: 21295)
No
Stephanie R Wilson, MD, Foothills Medical Centre
Foothills Medical Centre
  • Vancouver General Hospital
  • London Health Sciences Centre
  • Centre Hospitalier de l'Université de Montréal
Principal Investigator: Stephanie R Wilson, MD Foothills Medical Centre
Foothills Medical Centre
March 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP