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ELASTOMETRY OF THE LIVER

LIVER ELASTOMETRY is a modern diagnostic method that allows you to determine the stiffness (elasticity) of the liver and determine the degree of liver damage (fibrosis / cirrhosis). Elastometry is the most informative when examining patients with diffuse liver diseases, namely, with hepatitis. Already in the early stages of the lesion, the liver tissue becomes relatively less elastic and stiffer, which is not available to determine during routine ultrasound, but is already determined by elastometry. Adequate staging of fibrosis in diffuse liver diseases is necessary for the correct selection of hepatitis treatment, predicting the outcome of the disease and complications in liver cirrhosis. Elastometry as a diagnostic method has been adopted by doctors of various specialties (hepatologists, gastroenterologists, infectious disease specialists, transplantologists).

Being the closest to the "gold standard" of diagnostics - liver biopsy, elastometry has a number of advantages:
• non-invasiveness and safety
• carried out as usual ultrasound
• reproducibility and sufficient evidence-based accuracy of the results required for diagnosis
• unlimited dynamic control of changes in the properties of liver tissues during treatment.

Indications for liver elastometry:
• viral hepatitis (C, B) without exacerbation
• previously determined fibrosis/ cirrhosis of the liver
• liver steatosis (fatty hepatosis, fatty degeneration of the liver)
• autoimmune and hereditary liver diseases
• age-related changes
• suspicion of veno-occlusive liver disease
• transplanted liver
• changes in liver tests in the biochemical analysis of blood (AST, ALT, GGT, bilirubin, cholesterol)
• chronic toxic liver damage

Factors that reduce the reliability of the study:
• extreme obesity
• significant ascites
• poor acoustic window (narrow intercostal spaces)
• scars, tissue deformations in the projection of the study area
• extrahepatic cholestasis
• chronic heart failure
• acute hepatitis
• high levels of biochemical parameters of blood (ALT, AST) by more than 4-5 times from the normal ranges

Preparation:
• do not eat 4-6 hours before the study,
• bring with you the results of previous instrumental test methods and the results of a biochemical blood test