Fluctuational ultrasound imaging to help diagnose liver hemangioma
Official title: Fluctuational Imaging for the Diagnosis of Hepatic Hemangioma: A Multicenter, Prospective Study
Run by Yonsei University · NCT07418294 · Data updated 2026-11-12
This project tests whether a special ultrasound method called fluctuational imaging can help doctors identify liver hemangiomas in adults who have focal liver lesions of 1 cm or larger.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 19 Years and up |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | Yonsei University Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Seoul, Seodaemun-gu) |
| Status | Recruiting |
| Started | January 2, 2026 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | February 18, 2026 |
| Trial ID | NCT07418294 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 19 or older with a focal liver lesion measuring 1 cm or larger on ultrasound who can hold their breath for at least 5 seconds and who will have a definitive diagnosis within one month.
✕Probably not a fit
Patients with lesions under 1 cm, poor ultrasound image quality, inability to hold their breath, or without a definitive diagnosis within one month are unlikely to benefit from FLI.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Fluctuational imaging (FLI) is a real-time ultrasound technique that looks for continuous motion of tiny bright dots (the 'fluttering sign') within liver lesions. In this multicenter prospective observational design, adults with focal hepatic lesions ≥1 cm undergo FLI and the resulting maps are anonymized and independently read by four blinded readers who classify findings as positive or negative. Lesion diagnoses are confirmed by histopathology or by lesion-specific imaging criteria with stability over time for hemangiomas, and other lesion types require histology or accepted imaging standards. Approximately 400 cases are expected across participating centers to compare FLI findings against these reference standards.
Why it matters
Potential benefit: If successful, FLI could help noninvasively identify hemangiomas on ultrasound and reduce the need for additional contrast CT or MRI.
How similar studies have gone: Early work (e.g., Kobayashi et al. 2021) described the 'fluttering sign' on ultrasound, but the technique has only limited preliminary evidence and has not been widely validated.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged 19 years or older. * Presence of a focal hepatic lesion measuring 1 cm or larger on ultrasonography. * Lesion diagnosis established by pathology or lesion-specific imaging reference standards, or expected to be definitively established within 1 month after the FLI examination. * Ability and willingness to provide written informed consent. Exclusion Criteria: * Inability to maintain stable breath-holding for at least 5 seconds during ultrasonography. * Inadequate B-mode ultrasound image quality of the target lesion due to factors such as acoustic shadowing or severe beam attenuation. * Target lesion measuring less than 1 cm on ultrasonography. * Failure to establish a definitive diagnosis within 1 month after the FLI examination.
Where it's running
-
Severance hospital, Yonsei university college of medicine
Seoul, Seodaemun-gu, South Korea Recruiting
Study contacts
- Principal investigator: Seung-seob Kim, Professor — Severance Hospital
- Study coordinator: Seung-seob Kim, Professor
- Email: k2s0127@yuhs.ac
- Phone: 82) 10-2600-0127
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.