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...
...h chronic hepatitis C, the AGA recommends VCTE...
...chronic hepatitis C, the AGA suggests a...
In noncirrhotic patients with HCV who have ach...
...ts with chronic hepatitis B, the AGA suggests...
...n patients with chronic hepatitis B, the AGA su...
...makes no recommendation regarding the r...
...with chronic alcoholic liver disease, the AGA...
...atients with suspected compensated...
...with suspected chronic liver disease u...
...ts with chronic hepatitis C, the AGA suggests us...
...s with NAFLD and a higher risk of c...
...ts with NAFLD and a lower risk of cirrhosis,...
Suggested VCTE Cutoffs
...gested VCTE Cutoffs Condition VCTE...