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
...gnosis...
...s with chronic hepatitis C, the AGA recommends VCT...
...s with chronic hepatitis C, the AGA su...
...cirrhotic patients with HCV who hav...
...atients with chronic hepatitis B, the AGA sugge...
...patients with chronic hepatitis B, the AGA sugg...
...makes no recommendation regarding...
...th chronic alcoholic liver disease, the AGA...
...h suspected compensated cirrhosis,...
...ients with suspected chronic liver disease underg...
...patients with chronic hepatitis C, the AGA s...
...ith NAFLD and a higher risk of cirrhosis...
...s with NAFLD and a lower risk of cirrhosis, AG...
Suggested VCTE Cutoffs
...gested VCTE Cutoffs Condit...