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Fibro Scan

FibroScan is a specialized ultrasound machine for your liver. It measures fibrosis (scarring) and steatosis (fatty change) in your liver. Fatty change is when fat builds up in your liver cells.
FibroScan will help your healthcare provider learn more about your liver disease. A Fibroscan is a simple, painless, non-invasive procedure that is used to accurately assess the health of the liver.
During the scan a probe is placed on the surface of the skin.

FibroScan is recommended as -

  • It is quick and painless
  • Spots the early signs of liver damage
  • Provides an accurate diagnosis that can determine the type of treatment that is subsequently administered
  • Reduces the need for a liver biopsy
  • Can easily monitor changes in liver disease

When is FibroScan referred???

Your physician may recommend a FibroScan test if you have one of the following chronic liver conditions:

  • hepatitis B
  • hepatitis C
  • alcoholic liver disease
  • non-alcoholic steatohepatitis (NASH)
  • autoimmune hepatitis
  • genetic diseases such as hemochromatosis and Wilson’s disease
  • cirrhosis

What is a FibroScan looking for?

Fibroscan is a non-invasive test that helps assess the health of your liver. Specifically, it uses ultrasound technology to determine the degree of fibrosis or scarring that may be present in your liver from various liver diseases or conditions.

Is FibroScan the same as ultrasound?

FibroScan® is superior to ultrasound for the detection of liver scarring and therefore may be used to determine if cirrhosis or advanced fibrosis is present at the initial assessment and whether it has developed during follow up because of disease progression.

Why would you have a FibroScan?

A Fibroscan measures liver fibrosis or “scarring”, which is essentially liver damage that is often the result of metabolic syndrome, non-alcoholic fatty liver disease, chronic viral hepatitis or excess alcohol intake.

Is a FibroScan painful?

Because Fibroscan is a noninvasive test, it can be performed at the point of care, there is no pain, and sedation is not required.

Can MRI detect liver fibrosis?

MRI based MR Elastography (MRE) has been shown to be a promising technique for the detection of liver fibrosis (38-41). TE and MRE are the most commonly used elastography techniques for the assessment of liver fibrosis.

Can a FibroScan detect fatty liver?

Fibrosis can develop into advanced scarring (cirrhosis) or liver cancer. FibroScan is an easy, non-invasive test to detect fatty liver.

Does a liver ultrasound show fibrosis?

Ultrasound elastography is a special ultrasound technique to test for liver fibrosis. The movement of the liver caused by ultrasound wave is measured in the middle of the liver, and its stiffness (or elasticity) is calculated. Fibrotic livers are stiffer and moves to a greater degree compared to normal livers.

Can I drink water before FibroScan?

Please do not eat or drink anything for two hours before your fibroscan. If you need to, you can take small sips of water or clear fluid, but avoid drinking large amounts of fluid.

What is a good FibroScan score?

The normal range for a FibroScan is between 2 to 7 kPa. The average normal result is 5.3 kPa. Your liver doctor/NP will explain these results to find out how much scarring you have.

What is a normal fibrosis score?

Fibrosis scores range from 0 to 4, with 0 showing no signs of fibrosis and 4 showing the presence of cirrhosis. Middle scores, such as 3, show that fibrosis has spread and has connected to other areas on the liver that contain fibrosis.

What is FibroScan, and How Can It Help With Fatty Liver?

If your doctor thinks you may have fatty liver disease, he or she will order several tests to verify the diagnosis and determine how much of your liver is affected.
You might start with blood tests to check your liver enzymes. Elevated liver enzymes are an indicator of certain health conditions, including fatty liver. Next, an ultrasound or CT of your liver can help identify abnormalities on the liver.
If liver enzymes are elevated and an ultrasound or CT show abnormalities, the next step is a traditionally a biopsy. To do a biopsy, a doctor inserts a needle into your liver to remove a small piece of tissue. The tissue sample will be sent to a lab where to be examined under a microscope.
A traditional biopsy can determine the diagnosis of fatty liver by ruling out other conditions. It can also help determine the severity of the damage to the liver.
Because a biopsy is an invasive procedure, there are certain risks, like pain, infection, bleeding, and other more serious complications.

How is FibroScan different from a traditional biopsy?

A newer technique for diagnosing fatty liver disease uses a specialized ultrasound-based machine to measure scarring and fat buildup, called fatty change, in your liver. Like other ultrasound exams, FibroScan is painless, easy, and quick. And because it’s non-invasive, it doesn’t come with the same risks as an invasive biopsy.
A FibroScan doesn’t require any special preparation, although you may be asked not to eat or drink for a few hours before the FibroScan. It is completely painless, no sedation is necessary, and it only takes a few minutes to complete. After a FibroScan, you’ll be back on your feet in minutes with no recovery time or special instructions.

How long the patient needs to rest after the fibroscan?

The patient can immediately go back to home or work since there is no pain, no injection, no cutting, no anesthesia required for this procedure.