Anyone Else Have a UGAP to Diagnose? Accuracy?

[Dasil7]

Finally figured out what kind of ultrasound I had and it’s called a UGAP.

I have a bad gallbladder—sludge, stones, dilated duct—so I’ve had several standard ultrasounds and as of 2019, I did not have a fatty liver.

Fast forward to 2023, I was getting an ultrasound for the gallbladder again and they added on this UGAP which showed high moderate to borderline severe fatty liver. I’m extremely overweight so I’m not surprised that I have fatty liver, but I thought these things took time and 4 years seems pretty quick to get to almost severe!

My question—-is anyone familiar with this UGAP? I tried to find out if it’s accurate because I know the Fibroscan overestimates severity in bmi>30. All I can see online is that UGAP closely correlated with the CAP score which to my mind now means it possibly does overestimate.

Can’t get any other tests approved through insurance because all of my numbers are and always have been good which, you know, great, I guess? So long as I’m not going silently cirrhotic with my 20 ALT. 🙄

I guess it doesn’t matter because I most definitely need to keep losing weight anyway (down 57 since January eating a well balanced liver friendly diet and moving a lot more), and I will continue because I remain scared to death, but does anyone knows if this UGAP overestimates in the obese like the Fibroscan?

[MINTVCX]

I think is a pretty new tool -> sciencedirect.com/science/a...

Anyway if you have been diagnosed with fatty liver maybe it is worth to check your FIB-4 score? Maybe ask about this your doctor? It is a good point to start.

About FIB-4 -> *Use with caution in patients less than 35 or great than 65 years old, as the score has been shown to be less reliable in these patients

[Dasil7 in reply to MINTVCX]

Thank you for answering. We did the Fib 4 calculation and it’s 1.01.

[MINTVCX in reply to Dasil7]

I see pretty low score. Good luck with your weight losing effort. You can make it.

[Mrain]

if you ask your Dr if their are any clinical trials you may be able to apply. Once your recommend, all your test are free and they pay for your gas. I started 2 months. Ago and had to pay a dime. Or check for trials in your area

[Mrain]

are you going to a liver specialist?

[Dasil7]

not yet…

[Mrain]

you should go. They have info on clinical trials. You have to ask the doctor. My 1st liver Dr said he had it to. Gave me prednisone, I put on 30lbs!!I was diagnosed 5 yrs ago. Luckily when I got new insurance he wasn’t in my network. So my new dr, for last 5 months did a Fibroscan and he happened to be involved in clinical trials and said I would be perfect. Haven’t paid a penny since I signed up.