Liver Micro Flow - MRI

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age7+
SponsorUniversity of Wisconsin, Madison

About this trial

This study integrates and evaluates a series of novel MRI methods for quantifying blood perfusion and tissue microstructure. The proposed perfusion and microstructure measures may provide biomarkers for fibrosis, cirrhosis, portal hypertension, and response to treatment. The precision of these methods will be evaluated in 110 participants, including healthy volunteers, people with chronic liver disease (CLD), and people with liver fibrosis.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age 7 years or older

Willing and able to complete study procedures

Disqualifiers

Patients with contraindication to MRI (e.g. pacemaker, contraindicated metallic implants, claustrophobia, etc)

Pregnant or trying to become pregnant (as determined by self-report during MRI safety screening)

Received ferumoxytol injection within previous one year (clinical or research)

The person has their own prescription for the medication.

Trial population

Healthy volunteers, patients with chronic liver disease across the Metabolic dysfunction-associated steatoic liver disease (MASLD) spectrum, including steatosis, steatohepatitis (MASH), fibrosis, cirrhosis, and portal hypertension.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Novel MRI Software

    Device

    * Each study visit will last approximately 2 hours * The visit will include approximately 1 hour of MR imaging * Participants will be asked to fast for 5 hours prior to the research visit

  • Ensure Plus Nutrition Shake

    Other intervention

    A subset of participants (N=15 with portal hypertension and N=15 without portal hypertension) from the Liver Fibrosis Cohort will be imaged in the fasted state, then exit the scanner where they will be asked to drink two Ensure Plus Nutrition shake. After a 20-minute delay, each subject will re-enter the scanner for additional imaging.

Treatment groups

110 Participants
are divided into 3 treatment groups
Group A: Healthy Volunteers1 intervention
Group B: Participants with CLD1 intervention
Group C: Participants with Liver Fibrosis2 interventions

Trial outcomes

Primary outcomes

1

Test-retest repeatability of IVIM parameters: Perfusion Fraction

Test-retest repeatability of IVIM parameters will be acquired during a single study visit, summarized using repeatability coefficients and Bland-Altman analysis.

Time frame
data collected over one hour during one study visit
2

Test-retest repeatability of IVIM parameters: Blood Velocity Standard Deviation

Test-retest repeatability of IVIM parameters will be acquired during a single study visit, summarized using repeatability coefficients and Bland-Altman analysis.

Time frame
data collected over one hour during one study visit
3

Test-retest repeatability of IVIM parameters: Diffusion Coefficient

Test-retest repeatability of IVIM parameters will be acquired during a single study visit, summarized using repeatability coefficients and Bland-Altman analysis.

Time frame
data collected over one hour during one study visit

Secondary outcomes

1

Reproducibility of IVIM across acquisition parameters

Consistency of IVIM measurements across MRI acquisition parameters (relevant parameters include: respiratory motion mitigation approach (respiratory triggered vs free-breathing), and/or spatial resolution, and/or diffusion weighting values), summarized using coefficients of reproducibility and variation.

Time frame
data collected over one hour during one study visit
2

Diagnostic performance for liver fibrosis: AUC

Diagnostic performance for liver fibrosis: Ability of IVIM parameters to differentiate histologic stages of liver fibrosis using ROC analysis.

Time frame
data collected over one hour during one study visit
3

Diagnostic performance for liver fibrosis: Sensitivity (True Positive Rate)

Diagnostic performance for liver fibrosis: Ability of IVIM parameters to differentiate histologic stages (for example: distinguish stages 0-1 from stages 2-4) of liver fibrosis using ROC analysis.

Time frame
data collected over one hour during one study visit
4

Diagnostic performance for liver fibrosis: Specificity (True Negative Rate)

Diagnostic performance for liver fibrosis: Ability of IVIM parameters to differentiate histologic stages (for example: distinguish stages 0-1 from stages 2-4) of liver fibrosis using ROC analysis.

Time frame
data collected over one hour during one study visit

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Wisconsin, Madison

Lead sponsor

National Institute for Biomedical Imaging and Bioengineering (NIBIB)

Collaborator

This trial is not recruiting at the moment. You can still explore other options: