Diagnosing liver conditions using Fibroscan

Autore: Dr Deepak Joshi
Pubblicato:
Editor: Karolyn Judge

A liver biopsy, while effective and safe, is an invasive procedure that requires a recovery period afterwards. However, Fibroscan is a test that can remove the need for needles and days off.

 

Leading consultant hepatologist, Dr Deepak Joshi talks to Top Doctors about this development in liver health, why it’s an effective option and what’s involved in the procedure.

 

Doctor with woman, speaking to her about the results of a Fibroscan

 

What is Fibroscan and what can it detect?

Fibroscan is a non-invasive measurement of liver scarring (fibrosis) and liver fat (steatosis). The LSM (liver stiffness measurement) relates to scarring and the CAP (controlled attenuation parameter) score relates to the amount of fat.

 

It is quick and painless. The test usually takes less than five minutes. It is an excellent alternative to a liver biopsy although a high reading can lead to a liver biopsy as the next step. It is accurate at identifying patients with advanced scarring (cirrhosis) and those with very little scarring.

 

 

What are the signs or symptoms that people may need Fibroscan?

Fibroscan provides a way of identifying liver disease which otherwise may go unnoticed. It can be used in patients who:

 

  • Drink more than the recommended amounts of alcohol

 

or;

 

  • Have a fatty liver

 

If you are known to have liver disease, then a Fibroscan will help establish the degree of liver fibrosis. As it is non-invasive, it can be readily repeated.

 

 

What is involved in the Fibroscan procedure?

You need to have fasted for two hours previous to the procedure. It is performed with you lying down on your back with your right arm above your head. Some jelly is applied over the rib cage on the right side and the probe is placed on the skin in between the ribs. Once a stable position is achieved, 10 readings are taken by pressing a button on the probe. You might feel a little ‘thud’, but it is not painful.

 

 

Can Fibroscan detect liver cancer?

No, but it can detect advanced scarring (cirrhosis) which is a risk factor for liver cancer.

 

 

What are the next steps after a Fibroscan?

If the LSM is low, then your consultant will continue to monitor your case. If the LSM is in moderate/high range and you are not known to have chronic liver disease, then the next steps will be a liver screening (set of blood tests to look for the common causes of liver disease and a liver ultrasound) and a liver biopsy. A CT scan may also be needed.

 

 

Considering Fibroscan? Visit Dr Joshi for comprehensive and expert treatment. Arrange an appointment with him at your convenience, via his Top Doctors profile. 

*Tradotto con Google Translator. Preghiamo ci scusi per ogni imperfezione

Dr Deepak Joshi
Epatologia

Il dott. Deepak Joshi è un importante epatologo consulente a Londra, specializzato in malattie del fegato, trapianto di fegato e cirrosi . Dopo essersi diplomato in medicina al King's College nel 2001, ha proseguito gli studi di epatologia presso l'Institute of Liver Studies, dove ha svolto un dottorato di ricerca sui predittori di fibrosi in pazienti sottoposti a trapianto di fegato. Ha inoltre perfezionato le sue competenze in endoscopia e ERCP , formandosi presso i rinomati University College London Hospitals.

Ricercatore attivo nel campo dell'epatologia, ha pubblicato numerosi articoli su peer-review, ha contribuito alla stesura di capitoli di libri e ha collaborato con Hepatology at a Glance. I suoi principali interessi clinici comprendono le malattie delle vie biliari , nonché il trattamento e la gestione di tutti i tipi di condizioni da fare con il fegato o il pancreas . Attualmente lavora come consulente epatologo presso la Guthrie Clinic e consulente epatologo presso l'Institute of Liver Studies, King's College Hospital.

*Tradotto con Google Translator. Preghiamo ci scusi per ogni imperfezione

Vedi il profilo

Valutazione generale del paziente


Questo sito Web utilizza cookie propri e di terzi per raccogliere informazioni al fine di migliorare i nostri servizi, per mostrarle pubblicità relative alle sue preferenze, nonché per analizzare le sue abitudini di navigazione..