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, i...
...with chronic hepatitis C, the AGA su...
...cirrhotic patients with HCV who have achieved A...
...ients with chronic hepatitis B, the AGA sug...
...ents with chronic hepatitis B, the AG...
...AGA makes no recommendation regarding the role o...
...ents with chronic alcoholic liver disease, the...
...n patients with suspected compensated c...
...suspected chronic liver disease undergoing elect...
...patients with chronic hepatitis C, the AGA s...
...th NAFLD and a higher risk of cirrhos...
...ts with NAFLD and a lower risk of cirrhosis, AG...
Suggested VCTE Cutoffs
Suggested VCTE Cutoffs Co...