About this trial
This study shall be a prospective, multicenter, single arm, consecutive, interventional study conducted in a post-market setting using commercially available devices. Consecutive, eligible patients with clinical suspicion of MASLD or MASH reporting for an endoscopic ultrasound and liver biopsy for evaluation of fibrosis will be enrolled. EUS Shear Wave Elastography and Attenuation Imaging technologies will be compared to liver biopsy and FibroScan results and other non-invasive fibrosis screening modalities . The data collected during this study will be evaluated in accordance with the procedures set forth in the protocol. The main question\[s\] it aims to answer are:
* Establish optimal cutoffs for EUS-SWE in reference to liver biopsies staging system for liver fibrosis * Evaluate the diagnostic performance of EUS-SWE compared to FibroScan (VCTE) and to other non-invasive fibrosis screening modalities (screening scores).
Participants will undergo:
* Endoscopic Ultrasound with Shear Wave Elastography (SWE) and Attenuation Imaging (ATI) * Liver biopsy * FibroScan
Eligibility criteria
Qualifiers
18 years of age or older
Willing and able to provide informed consent
Patient scheduled to undergo EUS with liver biopsy, either same session or separately; if separate, liver biopsy should be performed within 3 months of the EUS (either before or after) with no interval bariatric procedure/surgery or weight change of >10% total body weight
Patient scheduled to undergo or have undergone FibroScan, which should be performed within 3 months of the EUS (either before or after) with no interval bariatric procedure/surgery or weight change of >10% total body weight
Disqualifiers
Patients with surgically altered anatomy that precludes adequate endosonographic visualization of the liver parenchyma
Prior history of Hepatitis B or C infection
Decompensated cirrhosis (GI bleeding, ascites, encephalopathy)
Histological evidence of other concomitant chronic liver disease on biopsy
Trial design
Treatments tested in this trial
- Endoscopic Ultrasound Shear Wave Elastography (EUS) and Attenuation Imaging
- FibroScan
- Liver biopsy
Treatment groups
Locations
2Sponsors and collaborators
Olympus Corporation of the Americas
Lead sponsor