STEA-MRI: Evaluation of 4 MRI Methods (PDFF 3, 6 and 11 Gradient Echoes and Spectroscopy) Compared to the Reference Method (Liver Biopsy) in Quantification of Hepatic Steatosis
Study Details
Study Description
Brief Summary
Evaluation of 4 MRI methods (PDFF 3, 6 and 11 gradient echoes and Spectroscopy) compared to the reference method (liver biopsy) in quantification of hepatic steatosis
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Hepatic steatosis is an increasingly frequent pathology, which can lead to severe complications (Cirrhosis, Hepatocellular Carcinoma).
The poor quantification of steatosis by ultrasound or scanning and the invasiveness of the reference method (liver biopsy) make MRI a measurement tool of choice.
Recent techniques such as proton density measurement with several echoes or spectroscopy are increasingly used for the measurement of steatosis.
At the time of the development of therapeutics to reduce fatty liver disease, the use of MRI seems an interesting alternative for longitudinal follow-up in these patients.
Our study aims to ensure the reliability of these different MRI techniques for accurate quantification of liver steatosis and to compare them.
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Measurement and influence of hepatic fibrosis
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Measurement and influence of intrahepatic iron
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Influence of intercurrent liver disease
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Comparison of the fat measurement of the different hepatic segments
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Reproducibility by measurement of inter-observer concordance
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Hepatic steatosis Evaluation of different techniques in quantification of hepatic steatosis by MRImaging (PDFF 3, 6 and 11 gradient echoes and Spectroscopy) compared to the histological method (reference) |
Procedure: Quantification of hepatic steatosis
Quantification of hepatic steatosis (histology, and in MRI)
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Outcome Measures
Primary Outcome Measures
- Correlation coefficient - for each quantitative MRI variable studied - with the histological score of hepatic steatosis. [at day 1]
Correlation coefficient - for each quantitative MRI variable studied - with the histological score of hepatic steatosis.
Secondary Outcome Measures
- Measurement of intrahepatic iron [at day 1]
- Measurement of intrahepatic fibrosis [at day 1]
- Measurement of fat in different hepatic segments [at day 1]
(MRI )
- Concordance between observers [at day 1]
(for MRI measurements)
Eligibility Criteria
Criteria
Inclusion Criteria:
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patients undergoing hepatic biopsy (trans-parietal or trans-jugular) in the context of liver disease
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signature of written consent
Exclusion Criteria:
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Contra-indications to MRI
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Refusal of protocol
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underage patients and protected adults
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CHU Clermont-Ferrand | Clermont-Ferrand | France | 63003 |
Sponsors and Collaborators
- University Hospital, Clermont-Ferrand
Investigators
- Principal Investigator: Louis BOYER, University Hospital, Clermont-Ferrand
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CHU-317
- 2016-A02065-46