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Fibroscan: When to use?

What is fibroscan?

Fibroscan is a non-invasive device that assesses the ‘hardness’ (or stiffness) of the liver via the technique of transient elastography. It is evaluated by measuring the velocity of a vibration wave to travel to a particular depth inside the liver. Because fibrous tissue is harder than normal liver, the degree of hepatic fibrosis can be inferred from the liver hardness.


  • Assessment of patients with chronic liver disease like Hepatitis B, Hepatitis C, Fatty liver disease, Autoimmune liver disease
    • Estimate the existing degree of liver damage
    • Monitor disease progression or regression via serial measurements
    • Guide prognosis and treatment.

Where is it not useful?

  • Patients with ascites
  • High SGPT > 200 IU/ml
  • Biliary obstruction
  • Tumor or metastasis within liver
  • Congestive cardiac failure
  • Obesity with BMI > 30

Time: 5-10 minutes

Risks: None


The results range from 2.5 kPa to 75 kPa. Between 90–95% of healthy people without liver disease will have a liver scarring measurement <7.0 kPa (median is 5.3 kPa). The optimal cut-off for the detection of cirrhosis is around 14 kPa. This may vary as per the etiology of liver disease under question. Measurements between 7kPa and 14 kPa may indicate varying degree of fibrosis. (e.g. F1-F3 grade; wherein F0=no fibrosis, F1-F3 is gradually increasing amount of fibrosis and F4 is cirrhosis).

Patient preparation: 

Patient should be nil by mouth for 2 hours prior.

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