Liver Cirrhosis Clinical Trial
Official title:
Establishment and Assessment of the HVPG Using Biofluid Mechanics (HVPGBFM)
This study is a prospective, non-controlled, multicentre trial in patients with cirrhosis or portal hypertension. In this study, the investigators aim to establish the HVPG using biofluid mechanics (HVPGBFM) model using biofluid mechanics methods and validate the HVPGBFM model. A total of 200 patients will be recruited in this study and each patient will undergo computed tomography, blood tests, Doppler ultrasound and HVPG measurement. The study consists of two independent and consecutive cohorts: original cohort (100 patients) and validation cohort (100 patients). The researchers will establish and improve the HVPGBFM model in the original cohort and assess the model in the validation cohort.
Consecutive patients are randomly assigned 1:1 to either the original cohort or the
validation cohort. Randomization is based on the computer-generated random digits table. This
study consists of two independent and consecutive stages:
1. Establishment and improvement of the HVPGBFM model: For 100 patients in the original
cohort, biofluid mechanics specialists will use each patient's computed tomography,
blood tests, Doppler ultrasound and HVPG results to adjust the parameters of the HVPGBFM
model in order to make each patient's HVPGBFM and HVPG values match well.
2. Assessment of the HVPGBFM model: For 100 patients in the validation cohort, biofluid
mechanics specialists will use each patient's computed tomography, blood tests and
Doppler ultrasound results to calculate each patient's HVPGBFM according to the HVPGBFM
model established previously. Biofluid mechanics specialists will make no changes to the
HVPGBFM model and will have no access to patients' HVPG results in this cohort. Finally,
the researchers will compare each patient's HVPGBFM and HVPG value and make an
assessment of the HVPGBFM model.
Each patient's HVPG measurement will be performed after finishing computed tomography, blood
tests and Doppler ultrasound. These results and other clinical data will be inaccessible to
professionals for HVPG measurements in order to prevent certain biases. Each patient's
computed tomography, blood tests, Doppler ultrasound and HVPG measurement will be performed
within 30 days and treatments that may affect HVPG value will be avoided during this period.
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