This document discusses the Fibroscan, a specialized ultrasound method used to measure liver fibrosis by sending low-frequency sound waves through the liver to assess scarring levels. It provides a fibrosis measurement in kilopascals (kPa) and a fat measurement using a controlled attenuation parameter (CAP) score. The Fibroscan is most effective in conjunction with other medical examinations to assess liver health.

1. A transient elastography

2. Presented by
DR.MD.SHAWKAT ALI
phase B resident
HEPATOBILIARY PANCREATIC AND LIVER TRANSPLANT SURGERY

3. INTRODUCTION
Prolonged or repeated liver damage forced to replace
and repair damaged tissue over and over. This leads to
the accumulation of scar tissue (fibrotic tissue) which
cannot self-repair and, over time, become thick and
stiff. Which ultimately limit or block blood flow within
the liver, causing healthy liver cells to die. This leads to
the creation of more scar tissue. It’s a bit of a vicious
cycle.So which one is best to detect that fibrosis?
FIBROSCAN

4. What is fibroscan?
A fibroscan is a test used to help measure the
amount of scarring (fibrotic tissue) in the liver. It’s
essentially a specialized ultrasound specifically for
the liver which can be used alone or with other tests
(such as blood tests, imaging scans, or biopsies) that
also measure scarring or fatty change in your liver.

5. How fibroscan works?
simply Fibroscan transducer is just a vibrator and a
sensor.it sends a low frequency sound wave through the
liver and measures the speed at which that sound wave
passes through the liver. This is then converted into a
measurement of liver stiffness measurement or fibrosis.
Technically this process is often called liver
ultrasonographic elastography.

6. How to do fibroscan?

7. INDICATION
Chronicc liver disease:
1.Hepatitis B & C infection
2.Alcoholic liver disease
3.Fattty liver

8. FIBROSCAN INTERPRETATION
Fibroscan detects.
1.Fibrosis/scarring/elasticity by
kilopascal(kpa)
2.Fat/steatosis by CAP score(controlled
attenuation parameter)

9. Fibrosis/scarring/elasticity
measurement
A fibrosis result ranging from 2 to 75 kPa. Between 2 and
6 kPa is considered a normal liver. The average normal
result is 5.3 kPa. Anything outside of the normal range
typically indicates liver disease.

10. Fibrosis grade chart

12. FAT measurement
Fat level should be in the green zone.The CAP score is measured
in decibels per meter (dB/m) and It ranges from 100 to 400
dB/m.steatosis have 4 grades ranges from So-S3.

13. What we see in ward...

14. Solve this....

15. Over-estimated result founds in:
 Liver inflammation. This can be caused by a recent
liver illness or drinking alcohol.
 Benign (not cancerous) or cancerous tumors in
your liver.
 Liver congestion (when your liver is too full of
blood or other fluids). This is usually caused by
heart failure.

16. Less accurate results found if you
have:
 A body mass index (BMI) higher than 30 (obesity)
 A build-up of fluid in your abdomen (ascites)
 Too little bile flowing out of your liver (biliary
obstruction)

17. Conclusion
The liver is a complicated part of the body to image. For
this reason, a FibroScan is best used in addition to other
medical exams, such as liver ultrasound or MRI.

18. THANK YOU