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Review
. 2019 Jun;48(2):281-289.
doi: 10.1016/j.gtc.2019.02.002. Epub 2019 Apr 1.

Liver Fibrosis Determination

Michelle Lai  1 , Nezam H Afdhal  2
Affiliations
Review

Liver Fibrosis Determination

Michelle Lai et al. Gastroenterol Clin North Am. 2019 Jun.

Abstract

All chronic liver disease can lead to liver fibrosis. Assessment of the severity of liver fibrosis is central to making treatment and management decisions. Liver biopsy, the gold standard for liver fibrosis assessment, is invasive and carries risks of complications and sampling errors. The use of noninvasive elastography-based radiologic methods of liver fibrosis determination is limited to centers that have the capabilities. Laboratory liver fibrosis determinations, both general clinical scoring systems and combination biomarker panels, are accessible to a wider population of clinicians for identifying patients at low risk of advanced fibrosis who do not need liver biopsies.

Keywords: APRI; ELF; FIB-4; Fibrosure; Fibrotest; Hepascore; Liver fibrosis; NAFLD fibrosis score.

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