Efficacy of the echOpen Device to Detect Pyelocaliceal Dilation and Hepatic Steatosis (CLIN-ECHO-II)
Hepatic Steatosis, Fatty Liver, Hydronephrosis
About this trial
This is an interventional screening trial for Hepatic Steatosis focused on measuring Ultrasound, Ultrasonography, Point-of-care-ultrasound, Hepatic Steatosis, pyelocaliceal system
Eligibility Criteria
Inclusion Criteria:
- Adult patient (age ≥ 18 years old)
- Patient having signed the informed consent to participate in this clinical investigation
- Patient affiliated to the social security scheme
Patient arriving in the hospital clinical ward (own initiative or by emergency services) whose clinical symptomatology suggests the presence of pathological elements which would be visible using an ultrasound probe in the following cases:
- Search for pyelocaliceal dilation: patient consulting for abdominal and/or lumbar pain and/or iliac fossa, fever, pain in the right or left iliac fossa, anuresis
- Search for hepatic steatosis: in a case of global clinical examination, abnormal laboratory test results, known or suspected metabolic disease, any situation suggesting the presence of hepatic steatosis
Exclusion Criteria:
- Minor patient (age < 18 years)
- Patients under the State Medical Assistance (AME)
- Obese patient (body mass index > 29.9)
- Patient in too serious condition for the clinical examination to be done fully and/or with additional exploratory time
- Unstable patient: need for immediate care, impossibility to carry out a thorough clinical examination including interview, palpation, auscultation, percussion
- Known allergy to ultrasound gel
Sites / Locations
- Avicenne Hospital - APHP- Hepatology DepartmentRecruiting
- Groupe Hospitalier Sud Ile de France (GHSIF) - Emergency DepartmentRecruiting
- APHP COCHIN HOSPITAL - Emergency DepartmentRecruiting
- Paul Brousse Hospital - APHP - Hepatobiliary CenterRecruiting
Arms of the Study
Arm 1
Experimental
Patients benefitting ultrasound examination
This is the only arm of the study. Patients with an indicative clinical picture that leads the clinician to resort to the use of an ultrasound to potentially support the diagnosis will be examined to verify the presence of pleural effusion or intra-abdominal effusion, or to identify basilic vein. The patients will be assessed first with the echOpen device and second witn an ultrasound routinely used in the department. In a case of discordance between the assessments made with echOpen and the usual ultrasound device, an independent referent radiologist will use a standard ultrasound machine to constitute the gold standard (GS) rating.