A new way to read CT scans may predict which liver surgery patients will develop Life-Threatening failure
NCT ID NCT07727759
First seen Jul 27, 2026 · Last updated Aug 19, 2026 · Updated 6 times
Summary
This study tests whether adding a technique called vascular deformation mapping (VDM) to standard CT scans can better predict liver failure after major liver surgery. Researchers will analyze routine preoperative CT images from over 1,000 adults undergoing removal of at least three liver segments. The goal is to develop a risk score that helps surgeons identify high-risk patients before the operation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Preoperative CT volumetry with hepatic vascular deformation mapping (VDM)
- What this could lead to
- If successful, this could give surgeons a practical tool to identify high-risk patients before liver surgery, potentially reducing life-threatening liver failure.
- What could go wrong
- This is an observational study, not a treatment trial. The prediction model may not perform as well in real-world settings or may not improve outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 1,070 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Consecutive adult patients undergoing elective major hepatic resection (three or more Couinaud segments) for benign or malignant liver disease at participating tertiary hepatobiliary referral centers in Egypt. Each center enrolls consecutive eligible patients, in order to minimize selection bias, until the overall target sample size is reached.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 years or older * Scheduled to undergo major hepatic resection, defined as the removal of three or more Couinaud segments, at a participating center * Availability of a preoperative multiphasic contrast-enhanced CT of the liver of quality sufficient for central core-laboratory analysis * Willing and able to complete postoperative clinical and laboratory follow-up for at least 30 days * Written informed consent Exclusion Criteria: * Minor hepatic resection (fewer than three Couinaud segments) * Significant pre-existing vascular anomaly or vascular pathology (for example, portal vein thrombosis) * Emergency hepatic resection for trauma * Preoperative imaging that fails central quality control * Incomplete follow-up data
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Liver and GIT Hospital, Faculty of Medicine, Minia University
RECRUITINGMinya, Minya Governorate, 61519, Egypt
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Maadi Armed Forces Medical Compound - Department of Liver and Pancreas Surgery and Liver Transplantation
RECRUITINGMaadi, Egypt
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National Liver Institute, Menoufia University
RECRUITINGShibīn al Kawm, Egypt
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