CAP score dispute: Hello Everyone, I... - Living with Fatty...

Living with Fatty Liver and NASH

8,264 members2,163 posts

CAP score dispute

ToughToes profile image
7 Replies

Hello Everyone,

I had a fibroscan this week. Overall, good news. No fibrosis, ir scarring. However, I was a little perturbed that my CAP score, which measures the amount of fat in the liver, was 268. The ranges for CAP scores are as follows: 230-260 means a low of 11% fat to 34% fat, considered S1 (mild steatosis); 260-290 translatetranslates to a range of 34% fat to 66% fat, S1(moderate steatosis); and 290 or higher, which translates into a range of 67% fat to 100%, S3 (severe steatosis). All that said, you can estimate your percentage of fat in your luver in relation to the lowest and highest numbers in your range. So, I estimated that, if a CAP of 260 equalsc34% fat and a CAP of 290 equals 66%, my fat percentage based on my CAP score if 268 would be roughly 42-45% fat buildup in my liver. Sound about right to you guys? Another group member said that my CAP of 268 would equal between 67-73% fat buildup., which is mathematically impossible if a much higher CAP of 290 only tanslates into 66% liver fat.

We must have some math wizards out there who can settle our little dispute. Whose calculations are correct? Mine (CAP of 268 = 42-45% fat)? Or the other member'member's (CAP of 268 = 67-73% fat)?

Written by
ToughToes profile image
ToughToes
To view profiles and participate in discussions please or .
7 Replies
ToughToes profile image
ToughToes

Come on folks! Many of you have had fibroscans and are often quoting your CAPS and Kpa's. Seriously, nobody has any thoughts on the disputed numbers?

Kjun54321 profile image
Kjun54321 in reply toToughToes

After my first fibroscan, my scores were high and leading to cirrhosis. After I had a liver biopsy, I only had mild hepatic steatosis. So, in my opinion, the ranges determine whether or not you need a liver biopsy to verify results. I’m obese, so it goes without saying that my fat is everywhere in my body. 😅

ToughToes profile image
ToughToes in reply toKjun54321

My scores weren't high, though. No scarring/fibrosis, abd CAP was 268. Tge upper limit for.for mild fatty liver is 260, meaning mine is just slightly above that. My question was, if a CAP of 260 equals 33% fat, thethen is it nnoi t logical that a CAP of 268 would represent roughly 42-45% fat? Remember that CAP of 290 equals 6% fat. The other group member I referred to says my CAP of 268 is equal to 67% to 73% fat, which I told him is IMPOSSIBLE if 260 CAP equals 33% and 290 290CAP equals 66%. Do You understand now?

Kjun54321 profile image
Kjun54321 in reply toToughToes

I understood…making molehills out of math. Lol. Your logic is sound. Fibroscans are not 100% accurate and you’re stressing about math when you should be ecstatic about the results. Not saying you aren’t right. Just saying someone’s opinion about what they say shouldn’t matter.

ToughToes profile image
ToughToes in reply toKjun54321

Ok, I understand. It just bugged me that the guy said a CAP of 268 equally 67-73%, because that is so wrong! If a CAP of 290 equals 66% fat, there's no way a CAP of 268 could possibly be more than 41-42%. He wouldn't see the logic and simple math and ut frustrated me.

ToughToes profile image
ToughToes

I've received one response in 18 hours and, unfortunately, he didn't seem to understand my question. Perhaps I phrased ut awkwardly, so I'll restate it as succinctly as possible.

Regarding the CAP score, which measures the amount of fat in a liver, if a CAP score of 260 dB (lowest end of S2, moderate grade) is roughly equal to 33% of the liver cells have fat, and a CAP score of 290 db is roughly equal to a 66% liver fat content, would it not logically follow that a CAP score of 268 db would be roughly equal to 42.5% fat content? It's simple enough to figure out, since there is a 30 db difference between the low end of S2 of 260 and a high end of 290, and a 33% difference between 33% fat (260 db) and 66% fat (290 db], each db point between the two extremes is equal to 1.08%. Therefore, subtract 260db from 268 db = 8 db × 1.08% = 8.64%. Now, we add 8.64% to the baseline of 33% (260 db) for a fat percentage for a CAP of 268 db of 41.64%. Sound correct?

Sunnyskies33 profile image
Sunnyskies33

I have that exact same CAP score, along with a 7.5 kPa. I estimated the same range as you did (low to mid-40 percent range) but wasn't sure if the scale worked that way. I would definitely think that lower in the range means less fat.

Not what you're looking for?

You may also like...

First ever Fibroscan with results.....

If anyone has questions, comments, or advice your response is sincerely appreciated. Just for...

Cap 300??

Hi there my cap was 300 but pka 4.7. It seems I have greater than 60% fat in my liver but my...

13% IQR, 318 CAP score, 15.2 kPa (NAFLD). Is this bad or the IQR is small enough?

I got my fibroscan results and I am not sure if I’m understanding them right. 13% IQR. I read what...
Kjun54321 profile image

Help me understand

I’m a little confused. With the help of the SUNN study, fatty liver was identified with “@50% fat...
AllHis profile image

KAISER PERMANENTE Denies First Time Request for First Ever Consult with Hepatologist.......

I am 70 y.o. male with FLD diagnosed via elevated liver enzymes & biopsy in 1986. In January I...

Moderation team

See all
AfternoonCoffee profile image
AfternoonCoffeeAdministrator
SuryaGP7 profile image
SuryaGP7Moderator
RobynD profile image
RobynDModerator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.