Elevated ELF but 'normal' Fibroscan pressure - how?

[_liver123_]

Hi All:

I'm a 50-something male with a fatty liver. Recently I was given an ELF test and it returned a result at the lowest end of the 'severe fibrosis' range. A follow-up Fibroscan gave a reading in the upper normal range for liver stiffness. How can the disparity be explained? Do I give more credence to the Fibroscan or to the ELF test?

Obviously I will discuss this with my specialist but I can't get an appointment for some time. I am concerned about severe fibrosis. I am working to reduce my weight and alcohol intake.

Just wondered if anyone could guide me with respect to these seemingly inconsistent results.

Thank you!

[MINTVCX]

No single test is conclusive. Any test can be false positive/negative which is normal.

About ELF test "Special precautions & notes: Only available to primary care. Only assayed if abnormal FIB-4 result."

"Ensure FIB-4 is calculated before requesting ELF"

[Roy1955]

Those results sound very consistent to me!Both midrange and both indicate some damage.

Your words..

"I am working to reduce my weight and alcohol intake"

Exactly the same as mine and probably half the folks on here when we got the early warnings but we're in denial.

If you need to work towards quiting alcohol then it's a problem you need help with.

[_liver123_]

Managed to catch up with the consultant. He said the Fibro score completely overrides the ELF score and so, despite having a fatty liver, there is no fibrosis - yet. I will keep up with my new diet and exercise regime and hope for better numbers when we retest in 12 months. Thanks all for your thoughts.

[Jb0711]

that’s good to know. May I ask what your Fibroscan was?

[mozlaw]

i stopped booze and it lowered from 13.4 early cirrhosis possibly to 11.6 within 12 months i stll had lapsed a few times with alcohol with my daughters wedding .

[Sunshineboy2 in reply to mozlaw]

Them numbers was your ELF score or Fibroscan?

[mozlaw]

fibro scan