Observational Study of Endoscopic Ultrasound Shear Wave Elastography for Fatty Liver Disease
This observational study is looking at how well a special imaging test, Endoscopic Ultrasound Shear Wave Elastography (EUS-SWE), can detect liver scarring (fibrosis) in people with non-alcoholic fatty liver disease (NAFLD) and obesity. EUS-SWE uses sound waves during an endoscopic ultrasound to measure liver stiffness, which can indicate fibrosis. Researchers want to see if EUS-SWE is more accurate than other non-invasive tests for this group of patients. They will compare EUS-SWE results to a liver biopsy, which is currently the most accurate way to check for liver scarring. The study also aims to find the best stiffness measurements for EUS-SWE to identify different levels of liver scarring. You might be able to join if you are an adult aged 18 or older, have suspected or confirmed NAFLD, a BMI of 25 or higher, and are already scheduled for an endoscopic ultrasound with a follow-up liver biopsy. The study plans to include 150 participants.
- Study design
- This is an observational study, meaning researchers will observe and collect information without providing new treatments. It aims to enroll 150 participants.
- What's involved
- You would undergo an endoscopic ultrasound where the EUS-SWE device is used. This procedure involves placing a probe on your stomach to face your liver.
- Compensation
- Not stated in the trial record.
- Follow-up
- Your EUS-SWE results will be compared to your liver biopsy results up to 6 months after the procedure.
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Endoscopic Ultrasound Shear Wave Elastography in Patients With Non-alcoholic Fatty Liver Disease
At a glance
Conditions
Where it's being run
2 sites across 1 statesStudy leadership
- Marvin Ryou, MD · PRINCIPAL_INVESTIGATOR · Brigham and Women's Hospital
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Accuracy of EUS-SWE in reference to the gold standard liver biopsyUp to 6 months
Accuracy is measured by performing area under the receiver operator characteristic (AUROC) analysis for different threshold of liver fibrosis (e.g. advanced fibrosis, cirrhosis). The AUROC c-statistic number will then be statistically compared to other non-invasive modalities, such as FIB-4 and Fibroscan who will have similar AUROC curves generated as surrogate for accuracy.
- Optimal stiffness cutoffs for EUS-SWE based on AUROC analysisUp to 6 months
Optimal cutoffs can be derived with the Youden index in attempt to maximize sensitivity and specificity