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CompletedNCT01516853Updated Dec 6, 2019

Non-invasive Quantification of Liver Iron With MRI

An observational study in Iron Overload and Hemosiderosis, sponsored by University of Wisconsin, Madison. Completed at 1 site in United States. Open to participants aged 10 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-12-06.

Sponsored by University of Wisconsin, Madison · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
10 Years and older
Sex
All
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Study summary

The purpose of this study is to validate magnetic resonance imaging as a biomarker of hepatic iron concentration (HIC). Excessive accumulation of iron in the body is highly toxic, specifically in the liver. Accurate, non-invasive assessment of HIC is needed for diagnosis, quantitative staging and treatment monitoring or hepatic iron overload.

Read the detailed description

Excessive accumulation of iron in the body can result from abnormal intestinal absorption in hereditary hemochromatosis or repeated intravenous blood transfusions (ie: transfusional hemosiderosis). Excess body iron is highly toxic, and requires treatment aimed at reducing body iron stores. Measurement of body iron stores is critical for detection of iron overload, staging its severity and monitoring of iron-reducing therapies that are often extremely expensive (>$40,000/year) and carry their own toxicities. MRI has been shown to be very sensitive to the presence of iron. The investigators have developed an MRI-based method for rapid iron quantification (for instance, whole liver in a single breath-hold). The purpose of this work is to validate this new method using the FDA-approved Ferriscan technique (Resonance Health, Claremont, Australia) as a reference standard.

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Conditions studied

  • Iron Overload
  • Hemosiderosis
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In context

Iron Overload

168 studies on the registry are indexed under Iron Overload; 8 are open to participants now.

This study's enrollment of 50 is below the median of 80 across 50 observational studies indexed under Iron Overload.

Browse Iron Overload studies →

Lead sponsor

University of Wisconsin, Madison is the lead sponsor of 1,182 studies on the registry; 180 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 118 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
10 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants with known or suspected iron overload are identified and recruited in 3 different ways, 1) referral from the Division of Hematology/Oncology and Pediatric Hematology/Oncology, 2) via clinical reading of abdominal MRIs for evidence of iron overload, and 3) participants identified to have serum ferritin levels >500 by UW Hospital Clinical Laboratory will be invited to participant. Controls were recruited from a recruitment database.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Controls: 18 years or older with no known history of iron overload or liver disease.
  • Patients: 10 years or older with known or suspected iron overload

Exclusion criteria

Exclusion Criteria:

  • Patients with contraindications to MRI (eg. pacemaker, contraindicated metallic implants, claustrophobia, etc) and pregnant females (as determined by self-report during MRI safety screening) will be excluded.
  • For control subjects, those with known liver disease will be excluded.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (actual)
Patient registry
No

Groups and cohorts

  • Patient Group

    Subjects with known or suspected iron overload will undergo serum iron measurements and a non-contrast MRI scan.

    Device: Non-contrast MRI

  • Control Group

    Subjects with no known history of iron overload or liver disease will undergo a serum iron measurement and a non-contrast MRI scan.

    Device: Non-contrast MRI

Interventions

  • DeviceNon-contrast MRI

    Non-contrast MRI will be performed on each subject, at both 1.5T and 3.0T. Different MRI sequences (spin-echo and gradient-echo) will be used, with varying acquisition parameters (e.g., echo times, spatial resolution).

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What researchers measure

Primary outcomes

  1. Calibration Curve of Liver R2* vs. HIC Measured by FerriScan

    Accuracy of non-contrast R2\*-MRI for measuring hepatic iron concentration.

    Time frame: Up to 1 day

  2. Correlation of Ferritin and Liver R2*

    Linear correlation between serum ferritin values and MRI R2\* values

    Time frame: up to 1 day

  3. Correlation of Ferritin and HIC Measured by FerriScan

    Linear correlation between serum ferritin values and FerriScan hepatic iron measurement.

    Time frame: up to 1 day

Secondary outcomes

  1. Variability of cardiac R2* with different imaging parameters

    Robustness of Proposed Method for Cardiac R2\* Estimation. Measure variability of cardiac R2\* with different imaging parameters.

    Time frame: up to 1 day

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Study locations

1 site
  • Wisconsin Institutes for Medical Research
    Madison, Wisconsin 53705, United States
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References and documents

Publications

  • Hernando D, Cook RJ, Diamond C, Reeder SB. Magnetic susceptibility as a B0 field strength independent MRI biomarker of liver iron overload. Magn Reson Med. 2013 Sep;70(3):648-56. doi: 10.1002/mrm.24848. Epub 2013 Jun 25. PubMed 23801540 ↗
  • Sharma SD, Hernando D, Horng DE, Reeder SB. Quantitative susceptibility mapping in the abdomen as an imaging biomarker of hepatic iron overload. Magn Reson Med. 2015 Sep;74(3):673-83. doi: 10.1002/mrm.25448. Epub 2014 Sep 8. PubMed 25199788 ↗
  • Horng DE, Hernando D, Reeder SB. Quantification of liver fat in the presence of iron overload. J Magn Reson Imaging. 2017 Feb;45(2):428-439. doi: 10.1002/jmri.25382. Epub 2016 Jul 13. PubMed 27405703 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01516853
Responsible party
Sponsor
First posted
Jan 25, 2012
Start date
Jan 2012
Primary completion
Jun 2015
Completion
Jun 2015
Last update
Dec 6, 2019

Study contacts

Scott B Reeder, MD, PhD
principal investigator · University of Wisconsin, Madison

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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