Status:

NOT_YET_RECRUITING

Building of Prognosis Model for Patients With Cirrhosis Based on Sarcopenia Assessed by Deep Learning

Lead Sponsor:

Peking University People's Hospital

Conditions:

Cirrhosis, Liver

Sarcopenia

Eligibility:

All Genders

18+ years

Brief Summary

The goal of this observational study is to develop and validate a fully automated imaging deep learning platform for the evaluation of sarcopenia in liver cirrhosis. Based on this model, a new prognos...

Detailed Description

The goal of this observational study is to collect clinical and abdominal imaging data of patients with liver cirrhosis. The collected imaging data will be used as a model development set to develop, ...

Eligibility Criteria

Inclusion

  • Age ≥18 years
  • Diagnosis of liver cirrhosis, meeting at least one of the following criteria:
  • Clinical diagnosis: ICD-10-CM codes K74.100 and K74.607 from our hospital's electronic medical record system
  • Liver biopsy pathology or a combination of clinical, laboratory, and imaging examinations confirming liver cirrhosis: Pathological biopsy criteria: fibrosis bridging between lobules leading to lobular structural disarray, nodular regeneration of hepatocytes, formation of pseudo-lobules
  • Laboratory tests: the presence of at least 2 of the following 4 abnormal indicators suggesting liver cirrhosis:
  • a) Platelet count \< 100×10\^9/L, with no other explainable cause;
  • b) Serum albumin \< 35g/L, excluding malnutrition or kidney disease as other causes;
  • c) International normalized ratio (INR) \> 1.3 or prolonged prothrombin time (PT) (after discontinuation of thrombolytic or anticoagulant drugs for more than 7 days);
  • d)Aspartate aminotransferase to platelet ratio index (APRI) \> 2.
  • Availability of high-quality L3-level CT images

Exclusion

  • Incomplete sociodemographic, laboratory, or imaging data
  • Diagnosed or highly suspected malignancy
  • Severe chronic kidney disease, respiratory insufficiency, cardiovascular diseases, etc.
  • Neurological diseases and muscular degenerative diseases
  • Hyperthyroidism, hypothyroidism, tuberculosis, or any other diseases that may affect basal metabolism
  • Diseases or conditions causing malabsorption of intestinal nutrients, such as inflammatory bowel disease or gastrointestinal surgery
  • Treatment with glucocorticoids or immunosuppressants
  • Pregnancy or lactation

Key Trial Info

Start Date :

September 1 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 31 2025

Estimated Enrollment :

1000 Patients enrolled

Trial Details

Trial ID

NCT06531200

Start Date

September 1 2024

End Date

December 31 2025

Last Update

August 6 2024

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