Icahn School of Medicine at Mount Sinai
The purpose of this study is to compare the diagnostic value of a reconstructed abbreviated Magnetic Resonance Imaging (MRI) from a full clinical exam, compared to ultrasound (US) for screening of liver cancer. Blood markers will be evaluated to determine their correlation to imaging. This study will help to determine whether abbreviated MRI is superior to ultrasound for diagnosis of liver cancer.
Hepatocellular carcinoma (HCC) is the fastest growing cause of cancer death in the United States and now kills over 30,000 Americans annually. To reduce the morbidity and mortality caused by this aggressive cancer, current practice guidelines recommend semi-annual abdominal ultrasound in adults with cirrhosis, the leading risk factor for HCC, to detect HCC nodules when they are small and treatable. Unfortunately, US has poor sensitivity for early-stage HCC in cirrhosis, failing to detect treatable cancer in over half of affected patients. Alternatives such as computed tomography (CT) or magnet…
Inclusion Criteria * Liver cirrhosis of any etiology. * 18 years of age and older. * Enrolled in screening/surveillance program for HCC. * Clinically indicated imaging-based screening for HCC. * Willing and able to complete all study procedures within specified time windows. * Patient is able to give informed consent for this study. Exclusion Criteria * Contra-indications to MRI. * Age less than 18 years. * Patients with chronic renal failure or inability to tolerate contrast. * Inability to undergo MRI due to lack of insurance coverage. * Prior negative screening exam less than 5 months pr…
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