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Doctor insights on: Fibroscan

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What is fibroscan?

What is fibroscan?

Liver fibrosis: Fibroscan uses transient elastography to determine liver hardness due to collagen fibers. This can be used to measure liver fibrosis. ...Read more

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How accurate is a fibroscan?

How accurate is a fibroscan?

Pretty good.: Fibroscan for hepatic fibrosis is a good test. For cirrhosis the sensitivity of the test (ability to detect disease when it is actually present) is about 90% and the specificity (ability to exclude disease when it is not present) is also about 90%. In some clinical cases a biopsy is still required. ...Read more

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What is a normal healthy fibroscan result?

What is a normal healthy fibroscan result?

3.9-5.3 kPa: It's an Ultrasound like machine measuring the "pressure" in the liver based in the amount if fibrosis in the liver tissue-this is like having a sponge and seeing if the sponge is expandable or is it really tight or saturated. The higher the kPa the more pressure which would be reflective of Fibrosis and therefore worsening liver disease. Used in Hep C, alcoholic and non alcoholic fatty liver mainl ...Read more

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Is fibroscan available in the united states? If so, where?

Is fibroscan available in the united states? If so, where?

Yes, don't know where: This has been around for several years as a way of deciding whether a patient has cirrhosis == worth knowing in deciding whether to treat hepatitis c, how hard to manage hepatitis b, and perhaps other things. I'm sorry I don't know who offers it, but your gastroenterologist would know. ...Read more

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I have nafld had fibroscan today readings 400 and 5.5 what does it mean?

I have nafld had fibroscan today readings 400 and 5.5 what does it mean?

What is the kPa: Fibroscan helps asessment of liver scarring. If your score of 5.5 is the estimated kPa then it is suggestive of you not having advanced liver scarring ...Read more

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Fibroscan put me at F0 but Fibrotest put me at F2 which one do I trust?!?!?!

Fibroscan put me at F0 but Fibrotest put me at F2 which one do I trust?!?!?!

It depends:
Why did you get the 2 tests? Have you discussed this with your ordering doctor? Research has shown Fibroscan accuracy in assessing lower degrees of liver fibrosis (F1-F2) is not as reliable compared to diagnosing advanced fibrosis and cirrhosis (F3/F4). The makers of FibroTest state it has the same diagnostic value as a 25 mm biopsy, while being noninvasive and easily repeatable.
...Read more

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Diagnosed nafld does it progress to more serious problems iam advised to have fibroscan?

It can: In rare cases, is can progress. I'm not sure what you mean by "fibroscan" but I would advise to you to proceed with whatever testing has been recommended. ...Read more

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Valid measurements:10, Total measurements:10. What are normal ranges for sws median and sws iqr in m/s on fibroscan test, (model FibroScan 502 Touch)?

Measurement 10?: Alid measurements:10, Total measurements:10. What are normal ranges for sws median and sws iqr in m/s on fibroscan test, (model FibroScan 502 Touch)? ANS:what are you measuring? ...Read more

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I had a fibroscan reading of 5.5 how is my liver doing?

I had a fibroscan reading of 5.5 how is my liver doing?

Hard to say: As this is only one of many tools to assess for liver disease, more specifically fibrosis. Be aware, that 90-95% of healthy persons without liver disease have a fibroscan score of 5.3 ...Read more

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Is fibroscan a good way to determine if liver is in good state?

Is fibroscan a good way to determine if liver is in good state?

Can be: Fibroscan is a type of ultrasound, where liver stiffness (how much scarring) is measured without need for liver biopsy. This is helpful in detecting amount of scarring in patient various type of chronic liver disease. This is routinely done in other parts of the world except usa, because it hasn't been approved by fda. ...Read more

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What would be a normal healthy fibroscan result? What is normal kpa value for healthy liver?

What would be a normal healthy fibroscan result? What is normal kpa value for healthy liver?

Normal: In general, we would consider a reading of 7 kPa or less a healthy liver. Anything above suggests varying degrees of fibrosis of the liver which can be due to a number of disease processes. Often this scan is used when there is already known presence of a liver disease. ...Read more

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Could someone with a low fibroscan score still have cirrhosis? If yes then what is the point of test??

To save U a biopsy!: NO test is perfect, but the goal here is to avoid the great risk of liver biopsy, which is the gold standard in determining how much fibrosis (if cirrhosis) is present in an individual's liver. Regarding Fibroscan, fibrosis stage (F0-2) was the only factor to predict significant discordance between liver biopsy & liver stiffness measurement. Reference: http://www. Medscape. Com/viewarticle/729797 ...Read more

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Is there anything that can cause a fibroscan to give a 'false negative' - or a good reading in someone with cirrhosis?

Is there anything that can cause a fibroscan to give a 'false negative' - or a good reading in someone with cirrhosis?

Fluctuates: We pathologists aren't quite sure what to make of these new imaging techniques that assess the physics of the liver. What we've always knows is that cirrhosis -- unlike a skin scar -- is a dynamic process, prone both to partial regression if the cause is removed, and only one factor in a liver's consistency. Other things in the liver -- fat, what's being stored, inclusions -- probably impact. ...Read more

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I have mild alt elevations, around 50, has been 90. Bounces around. Recently diagnosed with Gilbert's.Fibroscan 6.6. Anxious. Should I be? .........

I have mild alt elevations, around 50, has been 90. Bounces around. Recently diagnosed with Gilbert's.Fibroscan 6.6. Anxious. Should I be? .........

Find out WHY: Gilbert's is a non-problem and not the explanation. Why is you ALT up? If hepatitis B and C, alcohol, med allergy, hemochromatosis, Wilson's, and autoimmune hepatitis have been ruled out, you may simply have a few genes for nonalcoholic steatohepatitis and this is your body's way of asking for a return to the fitness-focused lifestyle you enjoyed so much as a teen. ...Read more

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Have nash level 4, fibroscan of 46 what level of cirrhosis would that be?

Have nash level 4, fibroscan of 46 what level of cirrhosis would that be?

Unclear.: By level, do you mean stage 4? And the fibroscan numbers do not make sense. Could you resubmit your question? Better yet, if you have the results, do a consult by healthtap concierge and I will review the records for you personally. Hope that helps. ...Read more

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3 mo. Ago fibroscan was 5.3 kpa last weeks was 4.9 kpa ok to rule out cirrhosis??

3 mo. Ago fibroscan was 5.3 kpa last weeks was 4.9 kpa ok to rule out cirrhosis??

Yes: Anything below 7 is considered minimal if any fibrosis. Definitely no cirrhosis by that. ...Read more

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Fibroscan result Kpa score 17.5 and I think F3 score. What percentage liver function would this give?

Fibroscan result Kpa score 17.5 and I think F3 score. What percentage liver function would this give?

Concerning...: Vibration-controlled transient elastography is a newer technology used to assess likelihood of liver fibrosis and cirrhosis. One measurement is not confirmatory as there are operator/patient-related factors that are not perfectly reproducible from scan to scan. 17.5 suggests significant stiffness, significant possibility of cirrhosis, and, I would estimate, over 50% compromise of liver function: ( ...Read more

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What are normal ranges for sws median and iqr in m/s on liver fibroscan test (model FibroScan 502 Touch)? There are 10 valid measurements out of total10

What are normal ranges for sws median and iqr in m/s on liver fibroscan test (model FibroScan 502 Touch)? There are 10 valid measurements out of total10

Clarification.: A liver FibroScan is used to detect fibrosis, also known as cirrhosis. The units of measurement is kPa. Based on published information, a score higher than 7.2 indicates fibrosis. A score higher than 14.5, in the presence of specific medical conditions, means cirrhosis. You should follow up with the provider who ordered the test to review your results. Hope this helped. ...Read more

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What is the point of a Fibroscan, does it check for Hep C?

What is the point of a Fibroscan, does it check for Hep C?

Fibroscan: No. This does not in any way check for causation. It is a measure, in part, of the degree of scarring in the liver from chronic inflammation and can be used to suggest the presence of cirrhosis. ...Read more

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Is Fibroscan a good alternative to the liver biopsy? How accurate is it?

No: Fibroscan is an ultrasound type that non-invasively (no needles) measures the stiffness of the liver, and can tell if a person has severe hepatitis or cirrhosis, both advanced liver disease states. However, it cannot distinguish early and mild to moderate liver disease from a healthy liver condition, which is what a liver biopsy can do, as well as diagnose a variety of other important conditions ...Read more

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Are there any factors that can cause a fibroscan to underestimate fibrosis/cirrhosis, or is a low score generally reliable?

Are there any factors that can cause a fibroscan to underestimate fibrosis/cirrhosis, or is a low score generally reliable?

Fibroscan is new: "Fibroscan" is a technique and uses a machine which is relatively new It's backers claim that the machine measures the "elasticity" of the organ this picking up fibrous changes earlier than CT/MRI scanning. This data is too new to have much confidence in it and if you are worried Liver function tests/Imaging with standard tools is suggested

Hope this helps
Dr Z ...Read more

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Has anyone used ELF or Fibrotest? How useful is it, does it correlate well with fibrosis? Plz don't confuse with fibroscan or fib-4 scores, thanks

Has anyone used ELF or Fibrotest? How useful is it, does it correlate well with fibrosis? Plz don't confuse with fibroscan or fib-4 scores, thanks

FibroTest=FibroSure: FibroSUREā„¢ is a proprietary algorithm for fibrosis & inflammatory activity that has been validated in large prospective studies in Hepatitis C and NASH patients. Serum and/or imaging noninvasive tests can thus be used for prediction of at least moderate-stage disease in a global cohort of patients with chronic HCV, including the potential of high accuracy compared against liver biopsy. ...Read more

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Is there anything that would falsely throw off both a fibrotest and a fibroscan?? and r these reliable? Have liver symptoms but both came back fine

Is there anything that would falsely throw off both a fibrotest and a fibroscan?? and r these reliable? Have liver symptoms but both came back fine

Need more info.: In order to answer this question properly, we need more info, such as what are your "liver symptoms, " and what is your underlying liver disease? These tests are useful once a diagnosis of liver disease has been made, to determine severity, but they are not useful in making the initial diagnosis. I would either give us more information here, or go back to your liver doctor to ask his evaluation. ...Read more

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My friend vomited approximately 3 bags of blood. Then, he went for fibroscan and the result showed severe fibrosis. What is this and what is the cur?

My friend vomited approximately 3 bags of blood. Then, he went for fibroscan and the result showed severe fibrosis. What is this and what is the cur?

Friend is very sick: No system of the body is spared in cirrhosis / end-stage liver disease. Will see general deterioration, endocrine problems, cardiovascular, GI (diarrhea, gastropathy, bleeding varices) pancreatic-biliary, neurologic, hematologic (coagulopathy ; bone marrow abnormalities), lung (hepatopulmonary), kidney (hepatorenal), lymphatic, dermatologic, musculoskeletal, ; higher risks of cancer. ...Read more

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Could my continuing & fluctuating mild alt elevations (50-90) be evidence of mild fatty liver. All other tests are negative inc fibroscan (6.6).Not fat. Used to be very active, still am to a degree but eat irregularly and late night due to shift work?

Liver injury: Mildly Elevated ALT indicates mild liver injury which can be due to viral hepatitis (sometimes other than hepatitis A, B or C), fatty liver, inflammation of the bile ducts, autoimmune disease or simply a reflection of inflammatory disorder in surrounding organs like in appendicitis or colitis. If this persists you should discuss the possibilities with your dr ...Read more

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What's more accurate ast/alt ratio or fibroscan?

What's more accurate ast/alt ratio or fibroscan?

Different issues: Fibrosan estimates the amount of fibrosis in the liver. AST/ALT ratio is supposed to tell if the liver damage is due to alcohol though there are many other conditions that produce a similar profile. ...Read more

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I hve fibroscan value-5.45, (1.28M/sec).my doc. Told me im in a immune tolerant phase of hbv. What does this mean? Is this good for future.?

I hve fibroscan value-5.45, (1.28M/sec).my doc. Told me im in a immune tolerant phase of hbv. What does this mean? Is this good for future.?

Yes, good.: Your fibroscan is in the mild to no fibrosis range. Immune tolerant phase is usually only in newborns where the virus in present, but non-pathogenic, with normal liver enzymes and no to minimal pathology on liver biopsy. Sometimes it persists into adulthood, like in your case. Most progress to immune-active with liver inflammation during childhood. ...Read more