FibroScan

A study by Mishra et al., 2020 showed the prevalence rate of nonalcoholic fatty liver diseases (NAFLD) in India has increased up to 42%. The significant rise in this condition marks the need for effective diagnostic methods. FibroScan is a modern solution to evaluate liver stiffness without surgery.

The FibroScan liver test provides valuable insights for the early detection and management of liver conditions. To know more about the procedure, normal range, results, and cost of this scan, continue reading the following blog. 

FibroScan uses ultrasound-based technology to measure liver stiffness and the amount of fat in the liver. Also known as transient elastography, it determines the extent of liver fibrosis and steatosis (fatty liver). These can be symptoms of chronic hepatic diseases. The test helps diagnose and monitor liver conditions like cirrhosis and nonalcoholic fatty liver disease (NAFLD).

A FibroScan test is important for patients seeking early detection and monitoring of liver conditions. The suitable candidates for this procedure are those who have the following: 

1. Inflammation or damage in the liver is shown on other liver tests

2. Conditions that increase liver damage. These may include: 

1. Alcoholic liver disease 

2. Chronic hepatitis B and C 

3. Type 2 diabetes 

4. Certain genetic diseases like haemochromatosis (excess iron in the body) and Wilson’s disease (copper buildup in the body) 

3. Signs and symptoms of cirrhosis (fatigue, poor appetite, bruising and bleeding, jaundice, etc.)

The test is also performed when the doctor needs more information to select a suitable treatment. 

FibroScan offers various advantages over traditional liver test procedures. These make it a preferred choice for both doctors and patients: 

1. Non-invasive: It does not need anaesthesia and avoids the discomfort and risks associated with liver biopsies.

2. Quick and Easy: A FibroScan test takes 5-7 minutes, unlike liver biopsies, which take longer preparation and recovery. 

3. Broad Applicability: It can be used for various liver conditions and is well-suited for paediatric patients. The process can also be used for those who are not good candidates for liver biopsies. 

4. Repeatable: The test can be performed multiple times, allowing for easy, regular monitoring of liver health.

5. Immediate Results: With instant results on liver stiffness and fat content, doctors can make decisions during the patient’s visit.

6. Affordable: The FibroScan cost is generally less than that of liver biopsies due to reduced hospital stays and anaesthesia expenses. 

Compared to other liver assessments, a FibroScan liver test requires minimal preparation to ensure accuracy and effectiveness. Individuals can expect the following: 

1. Fasting: Avoid eating or drinking anything except small sips of water for at least two hours before the test. 

2. Medication: Continue taking regular medications unless advised otherwise by the doctor.

3. Clothing: Wear loose-fitting clothes for easy access to the liver area (the right side of the abdomen) for the scan.

The FibroScan liver test is performed by a radiology technician or radiologist. It generally takes 5-7 minutes and may involve the following steps: 

1. Positioning: The patient will lie on their back with their right arm raised behind their head to expose the liver area.

2. Application of Gel: To enhance the effectiveness of the ultrasound, a small amount of gel will be applied to the skin over the liver area.

3. Probe Placement: The radiologist will place the FibroScan probe on the patient’s skin. 

4. Measurements: The device emits low-frequency sound waves that pass through the skin to the liver and bounce back. These vibrations are used to measure liver stiffness. 

5. Repetition: The process is repeated ten times to ensure accurate and consistent readings.

Due to its non-invasive nature, FibroScan requires no specific aftercare. Individuals can immediately return to their normal activities after the test. Unlike invasive procedures, there are no restrictions on eating, drinking, or physical activities. 

The doctor will schedule the first follow-up appointment a week after the FibroScan test to monitor liver stiffness. 

FibroScan results are available at the end of the test. The doctor helps patients understand the results to assess their liver health. Here’s what it indicates: 

1. Liver Stiffness: Expressed in kilopascals (kPa), this measure reflects the stiffness of the liver, which can indicate fibrosis. FibroScan normal range for liver stiffness is between 2 and 7 kPa. A higher score suggests more significant fibrosis or scarring.

2. Controlled Attenuation Parameter (CAP): Measured in decibels per metre (dB/m), CAP estimates the amount of fat in the liver. It aids in diagnosing steatosis (fatty liver). The score can range from 100 dB/m to 400 dB/m. A healthy liver may contain up to 5% fat. A CAP score under 238 dB/m indicates that the fat content in the liver is within a normal range. Higher values point to more extensive fat accumulation.

Interpretation of the FibroScan Report

The results in the FibroScan report are interpreted depending on the patient’s overall health, medical history, and risk factors for liver disease. The interpretation of CAP scores for steatosis is as follows: 

The scoring system for liver stiffness helps measure whether the liver scarring (fibrosis) is mild, moderate, or severe. The table below shows the interpretation of liver stiffness results for some of the common liver diseases: 

*Please note that the ranges provided for liver stiffness are estimates. 

In this table, the fibrosis scores denote the following: 

1. F0: No liver scarring 

2. F1: Mild liver scarring 

3. F2: Moderate liver scarring 

4. F3: Severe liver scarring 

5. F4: Cirrhosis 

After a FibroScan, the treatment plan is formulated based on patient-specific results and underlying condition. The following is what can be included in the treatment based on the test outcomes:

1. Lifestyle Changes: For those who have mild to moderate liver fibrosis or steatosis, diet and exercise changes can significantly impact liver health. Reducing alcohol intake, engaging in regular physical activity, and eating a healthy diet can help manage liver conditions.

2. Medication: Some liver diseases may require medication. These could include antiviral drugs for viral hepatitis or corticosteroids and immunosuppressants for autoimmune diseases. 

3. Surgery: In cases of severe liver damage or conditions like liver cancer, surgery may be necessary. A transplant is considered for liver failure. 

FibroScan is a non-invasive, safe, and painless procedure. Patients may experience a mild tickle on their skin as the ultrasound-like probe emits vibration waves, but it is well-tolerated. While the technique is generally risk-free, some medical conditions can limit the accuracy of the test: 

1. Ascites (fluid in the abdomen) 

2. Obesity (a BMI above 30)

3. Biliary obstruction (a blockage that does not allow enough bile to flow out of the liver)

4. Liver congestion (too much blood or fluid in the liver, often caused by heart failure) 

5. Benign and cancerous tumours in the liver 

Cost of FibroScan Test 

Understanding the FibroScan test price in India is essential for patients seeking a non-invasive liver assessment. The price of the procedure falls between ₹ 3000 - ₹ 7000. Expenses may vary based on several factors, which include: 

1. Location: The area of the healthcare facility can significantly impact the price. Metropolitan cities are costlier than rural areas.

2. Type of Facility: Private hospitals and specialised liver centres may have different pricing structures compared to public hospitals.

3. Consultation Fees: The FibroScan cost might also include consultation fees from hepatologists or gastroenterologists. Experienced specialists may charge more. 

4. Additional Tests: If other diagnostic assessments are required alongside FibroScan, this can increase the overall expense. 

5. Equipment: The use of the latest FibroScan models might incur higher charges due to advanced technology.

Note: These figures are estimates. Patients are advised to consult HexaHealth experts for accurate costs. 

FibroScan is an important diagnostic method to assess liver stiffness and fatty change. The painless technique and ease of use provide a comfortable experience for patients. It supports early detection and treatment of liver conditions.  

HexaHealth may help answer your query about “FibroScan test near me” by connecting patients with top healthcare facilities. We ensure that patients receive expert consultation and follow-up care. Trust HexaHealth to guide you through your liver assessment smoothly and precisely.

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