Elastography in the Evaluation of Liver Fibrosis
Publication Date: May 4, 2020
Key Points
Key Points
Vibration-controlled transient elastography (VCTE) is the most commonly used imaging-based fibrosis assessment method in the United States.
It can be performed rapidly at bedside in an ambulatory office setting, has a wide range of scores (2.5–75 kPa), is associated with acceptable intra-observer and inter-observer reproducibility, and has been validated in large cohorts worldwide in a spectrum of liver diseases, including hepatitis B, hepatitis C, fatty liver disease, and autoimmune liver disorders, among others.
It can be performed rapidly at bedside in an ambulatory office setting, has a wide range of scores (2.5–75 kPa), is associated with acceptable intra-observer and inter-observer reproducibility, and has been validated in large cohorts worldwide in a spectrum of liver diseases, including hepatitis B, hepatitis C, fatty liver disease, and autoimmune liver disorders, among others.
Diagnosis
...Diagnosi...
...th chronic hepatitis C, the AGA recommends VCT...
...atients with chronic hepatitis C, the AGA sug...
...tic patients with HCV who have achieved A sustain...
...atients with chronic hepatitis B, the...
...atients with chronic hepatitis B, the AGA sugge...
...o recommendation regarding the role of V...
...atients with chronic alcoholic liver disease,...
...suspected compensated cirrhosis,...
...th suspected chronic liver disease unde...
...lt patients with chronic hepatitis C, the...
...lts with NAFLD and a higher risk of cirr...
...th NAFLD and a lower risk of cirrhosis, AGA m...
Suggested VCTE Cutoffs
...sted VCTE Cutoffs Condition...