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CompletedNCT07265011Updated Dec 4, 2025

Ultrasound-Based Estimation of Hepatic Steatosis in Pediatric MASLD

An interventional study of Ultrasound and MRI in MASLD and Pediatric, sponsored by Jae Won Choi. Completed at 1 site in South Korea. Open to participants aged 8 Years to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-04.

Sponsored by Jae Won Choi · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Dec 2024, registered Nov 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
8 Years to 18 Years
Sex
All
01

Study summary

The purpose of this study is to validate an artificial intelligence (AI)-based algorithm that estimates hepatic steatosis using ultrasound (US) B-mode images in pediatric participants with metabolic dysfunction-associated steatotic liver disease (MASLD). The MRI proton density fat fraction (MRI-PDFF) serves as the reference standard for hepatic fat quantification.

02

Conditions studied

  • MASLD
  • Pediatric

Keywords

  • MASLD
  • NAFLD
  • Fatty Liver
  • Pediatrics
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In context

Non-alcoholic Fatty Liver Disease

1,474 studies on the registry are indexed under Non-alcoholic Fatty Liver Disease; 303 are open to participants now.

This study's enrollment of 50 is below the median of 60 across 1,072 interventional studies indexed under Non-alcoholic Fatty Liver Disease.

Browse Non-alcoholic Fatty Liver Disease studies →

Lead sponsor

This is the only study on the registry with Jae Won Choi as lead sponsor.

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

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Who can participate

Ages eligible
8 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • participants aged 8 to 18 years clinically indicated for liver ultrasound examination to evaluate hepatic steatosis
  • participants with suspected or known metabolic dysfunction-associated steatotic liver disease (MASLD)
  • able to understand the study purpose and provide written informed consent (from both participant and legal guardian).
  • agree to undergo same-day liver MRI examination in addition to the ultrasound

Exclusion criteria

Exclusion Criteria:

  • unable to cooperate with imaging procedures
  • parent or legal guardian unable to understand the study explanation
  • contraindications to MRI
  • determined by the investigator to be otherwise unsuitable for participation after consultation
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Liver Ultrasound and MRI

    Diagnostic Test: Ultrasound and MRI

Interventions

  • Diagnostic testUltrasound and MRI

    Participants undergo same-day liver imaging including conventional B-mode ultrasound, quantitative ultrasound, and magnetic resonance imaging (MRI). Conventional Ultrasound: B-mode imaging performed on three ultrasound systems (Canon Aplio i800, Philips EPIQ, and Supersonic AIXPLORER) to acquire grayscale liver images for artificial intelligence (AI) analysis. Quantitative Ultrasound: Attenuation imaging (ATI) and shear wave elastography/dispersion measurements performed to assess hepatic fat and stiffness. MRI: Proton density fat fraction (PDFF) measurement used as the reference standard for hepatic steatosis quantification. All imaging is performed on the same day for each participant to ensure temporal consistency across modalities and vendors.

06

What researchers measure

Primary outcomes

  1. Agreement Between AI-Predicted Ultrasound Fat Fraction (AI-USFF) and MRI Proton Density Fat Fraction (MRI-PDFF)

    Reference standard: MRI-PDFF (percentage) \- intraclass correlation coefficient (ICC)

    Time frame: At time of imaging (single visit)

Secondary outcomes

  1. Correlation Between AI-USFF and MRI-PDFF

    Reference standard: MRI-PDFF (percentage) \- Pearson correlation coefficient (r)

    Time frame: At time of imaging (single visit)

  2. Diagnostic Performance of AI-USFF for MRI-Based Hepatic Steatosis Grades

    The diagnostic performance of AI-USFF for detecting mild, moderate, and severe hepatic steatosis, as defined by MRI-PDFF thresholds, will be evaluated using area under the receiver operating characteristic curve (AUC).

    Time frame: At time of imaging (single visit)

  3. Inter-Vendor Reproducibility of AI-USFF

    Reproducibility of AI-USFF across the three ultrasound systems are assessed using the intraclass correlation coefficient (ICC \[2,k\]).

    Time frame: At time of imaging (single visit)

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Study locations

1 site
  • Seoul National University Hospital
    Seoul, 03080, South Korea
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 4, 2025, 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
NCT07265011
Lead sponsor
Jae Won Choi
Responsible party
Jae Won Choi (Clinical Assistant Professor, Seoul National University Hospital) — Sponsor-investigator
First posted
Dec 4, 2025
Start date
Dec 31, 2024
Primary completion
Sep 23, 2025
Completion
Sep 23, 2025
Last update
Dec 4, 2025

Oversight

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

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This study is completed, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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