Doctor insights on:
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
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
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
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.
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
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
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
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
Yes: This makes it unlikelyGet a more detailed answer ›
Unlikely: A score that low is not predictive of advanced liver fibrosis or cirrhosis. ...Read more
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
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
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
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
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
Yes: Anything below 7 is considered minimal if any fibrosis. Definitely no cirrhosis by that. ...Read more
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
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
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
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
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: FibroSURE™ 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
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
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
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
Why does the Fibroscan chart have such a variable 'orange' or 'F3' area with alcohol in comparison to other forms of liver disease?
Borderline cirrhosis: A fibroscan of 12.2 in patients with alcoholic liver disease is borderline cirrhosis or F3. Hope this helps. ...Read more
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