Trial Outcomes & Findings for Ultrasound Based Acoustic Radiation Force Impulse Imaging (NCT NCT01781208)

NCT ID: NCT01781208

Last Updated: 2016-10-21

Results Overview

Tissue shear wave speed is positively correlated to a material's/tissue's stiffness and can be noninvasively measured by ultrasound. The relationship between liver shear wave speed and liver histologic fibrosis score were assessed using 2 different ultrasound methods. Liver shear wave speed as obtained using 2 different ultrasound methods served as our primary outcome measures. Note, the histologic scoring system (Ishak) ranged from 0 to 6, where 0 = no fibrosis and 6 = cirrhosis.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

62 participants

Primary outcome timeframe

10 minutes

Results posted on

2016-10-21

Participant Flow

Pediatric patients aged 18 and younger were scheduled for a liver biopsy at a large pediatric hospital between 2012 and 2014. A total of 62 patients were recruited and enrolled. Patients and their parents gave consent/assent for the study.

Participant milestones

Participant milestones
Measure
Ultrasound-based Acoustic Radiation Force Impulse (ARFI)
62 children undergoing clinically ordered ultrasound-directed percutaneous core needle liver biopsy were included. Biopsy was performed for known or suspected (non-neoplastic) liver disease. (One child did not undergo a liver biopsy, so was ineligible and not included in the above total.) The patients received an additional ultrasound for research purposes that utilized a technique known as ARFI. ARFI, or Acoustic Radiation Force Impulse, uses a transducer which directs sound waves again the liver to measure the stiffness of the tissues.
Overall Study
STARTED
62
Overall Study
Overall Study
62
Overall Study
COMPLETED
62
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Ultrasound Based Acoustic Radiation Force Impulse Imaging

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ultrasound-based Acoustic Radiation Force Impulse (ARFI)
n=62 Participants
62 children undergoing clinically ordered ultrasound-directed percutaneous core needle liver biopsy for known or suspected (non-neoplastic) liver disease were included in this study. Subjects were between 0-18 years of age.
Age, Categorical
<=18 years
62 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Age, Continuous
8.0 years
n=99 Participants
Sex: Female, Male
Female
29 Participants
n=99 Participants
Sex: Female, Male
Male
33 Participants
n=99 Participants
Region of Enrollment
United States
62 participants
n=99 Participants

PRIMARY outcome

Timeframe: 10 minutes

Population: 49 pediatric subjects underwent successful (diagnostic) liver ARFI/VTQ) assessment and liver histologic fibrosis scoring. 13 subjects had non-diagnostic ARFI/VTQ exams. 48 pediatric subjects underwent successful (diagnostic) liver ARFI/VTIQ) assessment and liver histologic fibrosis scoring. 14 subjects had non-diagnostic ARFI/VTIQ exams.

Tissue shear wave speed is positively correlated to a material's/tissue's stiffness and can be noninvasively measured by ultrasound. The relationship between liver shear wave speed and liver histologic fibrosis score were assessed using 2 different ultrasound methods. Liver shear wave speed as obtained using 2 different ultrasound methods served as our primary outcome measures. Note, the histologic scoring system (Ishak) ranged from 0 to 6, where 0 = no fibrosis and 6 = cirrhosis.

Outcome measures

Outcome measures
Measure
Children Undergoing Diagnostic ARFI/VTQ and Fibrosis Scoring
n=49 Participants
We measured correlation between liver shear wave speed as determined by ARFI (VTQ) and liver histologic fibrosis score.
Children Undergoing Diagnostic ARFI/VTIQ and Fibrosis Scoring
n=48 Participants
We measured correlation between liver shear wave speed as determined by ARFI/VTIQ and liver histologic fibrosis score.
ARFI/VTQ and ARFI/VTIQ Liver Shear Wave Speed vs. Liver Histologic Fibrosis Score
1.69 m/s
Standard Deviation 0.42
2.01 m/s
Standard Deviation 0.58

Adverse Events

All Participants

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jonathan Dillman, MD

Cincinnati Children's Hospital Medical Center, Department of Radiology

Phone: 513 803-7114

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place