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.

Diagnosis

...gnosis...

...patients with chronic hepatitis C...


...with chronic hepatitis C, the AGA sugges...


...noncirrhotic patients with HCV who have achieved...


...with chronic hepatitis B, the AGA suggests VC...


...chronic hepatitis B, the AGA sugges...


...AGA makes no recommendation regarding the...


...ts with chronic alcoholic liver disease, th...


...patients with suspected compensated...


...patients with suspected chronic liver...


...lt patients with chronic hepatitis C, the AGA sugg...


...ults with NAFLD and a higher risk of cir...

...NAFLD and a lower risk of cirrhosis, AGA mak...


Suggested VCTE Cutoffs

...ggested VCTE Cutoffs Condition...