Liver investigation: Testing marker utility in steatohepatitis (LITMUS): Assessment & validation of imaging modality performance across the NAFLD spectrum in a prospectively recruited cohort study (the LITMUS imaging study): Study protocol.

Pavlides, Michael; Mózes, Ferenc E; Akhtar, Salma; Wonders, Kristy; Cobbold, Jeremy; Tunnicliffe, Elizabeth M; Allison, Michael; Godfrey, Edmund M; Aithal, Guruprasad P; Francis, Susan; Romero-Gomez, Manuel; Castell, Javier; Fernandez-Lizaranzu, Isabel; Aller, Rocio; González, Rebeca Sigüenza; Agustin, Salvador; Pericàs, Juan M; Boursier, Jerome; Aube, Christophe; Ratziu, Vlad; ... (2023). Liver investigation: Testing marker utility in steatohepatitis (LITMUS): Assessment & validation of imaging modality performance across the NAFLD spectrum in a prospectively recruited cohort study (the LITMUS imaging study): Study protocol. Contemporary clinical trials, 134(107352), p. 107352. Elsevier 10.1016/j.cct.2023.107352

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Non-alcoholic fatty liver disease (NAFLD) is the liver manifestation of the metabolic syndrome with global prevalence reaching epidemic levels. Despite the high disease burden in the population only a small proportion of those with NAFLD will develop progressive liver disease, for which there is currently no approved pharmacotherapy. Identifying those who are at risk of progressive NAFLD currently requires a liver biopsy which is problematic. Firstly, liver biopsy is invasive and therefore not appropriate for use in a condition like NAFLD that affects a large proportion of the population. Secondly, biopsy is limited by sampling and observer dependent variability which can lead to misclassification of disease severity. Non-invasive biomarkers are therefore needed to replace liver biopsy in the assessment of NAFLD. Our study addresses this unmet need. The LITMUS Imaging Study is a prospectively recruited multi-centre cohort study evaluating magnetic resonance imaging and elastography, and ultrasound elastography against liver histology as the reference standard. Imaging biomarkers and biopsy are acquired within a 100-day window. The study employs standardised processes for imaging data collection and analysis as well as a real time central monitoring and quality control process for all the data submitted for analysis. It is anticipated that the high-quality data generated from this study will underpin changes in clinical practice for the benefit of people with NAFLD. Study Registration: clinicaltrials.gov: NCT05479721.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Hepatology

UniBE Contributor:

Berzigotti, Annalisa, Huber, Adrian Thomas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1551-7144

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

09 Oct 2023 11:56

Last Modified:

26 Nov 2023 00:16

Publisher DOI:

10.1016/j.cct.2023.107352

PubMed ID:

37802221

Uncontrolled Keywords:

2D shear wave elastography 2DSWE DeMILI Diffusion weighted imaging Fibro-MRI Iron corrected T1 Liver Multiscan Magnetic resonance elastography NASH NASH-MRI PDFF Proton density fat fraction R2* T1 mapping T2* liver stiffness pSWE point shear wave elastography ultrasound elastography vibration controlled transient elastography

BORIS DOI:

10.48350/186969

URI:

https://boris.unibe.ch/id/eprint/186969

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