Is the Kpa from a shearwave elastograp... - British Liver Trust

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Is the Kpa from a shearwave elastography the same as the Kpa from a fibroscan?

Kettl profile image
7 Replies

Hi all, I had a shear wave elastography of the liver. Kpa 7.8. My ultrasound said increased echogenicity and mildly in creased exotexture. Does anyone know if this is suggestive of cirrhosis? Has it gone too far. Worried sick.

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Kettl
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Worrysome1 profile image
Worrysome1

Didn’t someone say that it’s early fibrosis which is reversible and definitely not cirrhosis? When you are in a state of panic you don’t always take in what people have said. Think you’re in a really good position and can get back to normal. Xxxxxx

Kettl profile image
Kettl in reply to Worrysome1

Thanks. Yes, I am wondering if the grading is different for shear wave as compared to fibroscan. I was also concerned as the ultrasound said mild heterogenous exotexture. I will see g.p to,or row and discuss. I could let it go if I felt ok but quite unwell.

Worrysome1 profile image
Worrysome1 in reply to Kettl

I think you should be relieved but you’re doing the right thing going to docs. He can reassure you. Xxxxxx

MINTVCX profile image
MINTVCX

Hi,You cannot compare fibroscan score with one from shear wave elastography. Different scale for staging fibrosis. Not sure but 7.8 kpa for SWE is something F1/F2 but you have to check this with doctor.

Anyway I have also increased heterogenous echo on ultrasound. I have fibroscan 8,8 kpa (described as F2). BMI about 25. Not sure what is going on (no indication of AIH, alkohol rather social drinking).

Kettl profile image
Kettl in reply to MINTVCX

It’s hard to get your head around when there are no straight forward answers. Thanks you for the information. Do you have any symptoms?

MINTVCX profile image
MINTVCX

Not at all but it is not unusal even with advanced fibrosis. All liver enzymes pretty ok (only INR is slightly increased 1.28 - normal 0.8-1.2). I will see what future will bring. I am male only 36 years old.

Kettl profile image
Kettl in reply to MINTVCX

Good luck getting to the bottom of things. You are young. You will sort it out and get on top of things.

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