shear wave elastography vs Fibroscan

[rupertj]

I see a lot of info on grading for Fibroscan which I have not had. I have had two shearwave liver elastographys. Are they graded the same?

Wondering if they yield the same accuracy?

[rupertj]

isn’t transient ultrasound the same as Fibroscan not sheave wave elastography?

[rupertj]

FibroScan® is a non-invasive device that assesses the 'hardness' (or stiffness) of the liver via the technique of transient elastography. Liver hardness is evaluated by measuring the velocity of a vibration wave (also called a 'shear wave') generated on the skin.

This is what I’m confused about. It says both transient elastography and shear wave. Just wondering if the results chart for shearwave is same as with Fibroscan? The chart I’ve seen the cut off is higher than what you posted above(6)

[MINTVCX in reply to rupertj]

"the results chart for shearwave is same as with Fibroscan?:"

No, they are different.

[rupertj in reply to MINTVCX]

is 6.4 concerning?

[MINTVCX in reply to rupertj]

Please check this with hepatologist. However 4.6 - 6.4 kpa is pretty low for SWE. About F0-F1.

[KC108]

The results and charts are different. I have had both tests. The ultrasound elastography has a lower threshold. Also the manufacturers have different thresholds. For instance Phillips is different then a GE machine.

[rupertj in reply to KC108]

is one more accurate than the other?

[rupertj]

is one more accurate than the other?

[pushthrough in reply to rupertj]

Rupert the MRE is supposed to be the single most accurate test you can have for diagnosing liver disease. You still need the blood work though. It’s fairly new. There are only a few machines in my entire state. I think the more tests the better because one might be wrong, you never know.

[pushthrough]

I had the mre which is different from the fibroscan. It’s basically an mri with elastography. The scoring system is much different. I’m not sure if that’s what you had though

[rupertj in reply to pushthrough]

I think what I had was the same as MRE just with ultrasound instead.

[pushthrough in reply to rupertj]

yeah the mre was really odd. They strap a band around you with a hard plate inside and it vibrates while you are in the mri machine. My stiffness was half of what the fibroscan read but both indicated compensated cirrhosis. Was certainly upsetting to hear but could have been much worse.

[rupertj]

but the values for normal look very different