Is An Elastographic Score Value Of 6.46 A Cause For Concern?

Posted on Mon, 11 Jul 2016

Question: Hello sir.my husband is a 32 year old with weight 73 kg.he has non alcoholic steatohepatitis .when he was first diagnosed in XXXXXXX 2015 that time his at was 80 kg.ht is 5'10". thereafter he reduced at to 73 kg and does regular exercise and controlled diet.but today he had a shear wave elastography done and his score was 6.46 (normal range given was 2.5-7 kpa).does this score mean that he is progressing to fibrosis soon??
He is non diabetic non alcoholic and non smoker.his sgpt at time of diagnosis was 187 but now sgpt is normal and all other tests are normal yes(hep b hep c alp GGT ceruloplasmin afp ana asma bilirubin all ).I only want to know significance of the score and does the score mean that he will progress to fibrosis soon.thanks in advance

Answered by Dr. Dr.P.Ratnakar Kini (10 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

- you want to know significance of the score and does the score mean that he will progress to fibrosis soon?

His Fibroscan score is 6.46 kPa. It is well within normal limits. He is NOT having fibrosis. All the other tests are within normal limits now. He is UNLIKELY to progress to fibrosis provided all the risk factors are under control.

Regards,
Dr.R.K

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (8 hours later)

hello sir.thanks for your reply.but my question is that his score is 6.46 and the normal range ends at at 7kpa.that sounds close enough. so does that mean in a few months or a few years score can become 7 or more than 7kpa coz 6.46 is close enough to 7.thanks in advance.

Answered by Dr. Dr.P.Ratnakar Kini (16 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for getting back to me with more questions.

If you can go through my previous post you can see I have mentioned he is UNLIKELY to develop fibrosis PROVIDED ALL THE RISK FACTORS ARE UNDER CONTROL.

He is not obese and his cholesterol is under control. His liver function numbers have returned to baseline.
There is no factor that would damage the liver further and cause fibrosis.

Only if anything is damaging the liver the score will increase. Otherwise it will not.

Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Arnab Banerjee