ASSESSING THE ACCURACY OF FIB-4 SCORES TO POINT SHEAR WAVE ELASTOGRAPHY IN MONITORING DIFFERENT STAGES OF FIBROSIS IN NON-ALCOHOLIC LIVER DISEASE.

Volume 13 , Issue 3 , March 2025 , Pages 269-274

Authors

Shahla Mohammed Saeed Rasul 1

1 Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10420

Keywords

Abstract


Background
Non-alcoholic liver disease (NAFLD) assessment is done by measuring biochemical parameters from blood
samples. However, non-invasive methods have gained significance lately. Biochemical parameters and staging
of fibrosis-associated NAFLD based on the levels of biomarkers have been established procedures in the field.
So, the utilization of non-invasive methods as a comparable means for fibrosis staging in NAFLD has yet to
be established.
Objectives
To compare the diagnostic performance of serum markers to point shear wave elastography for classifying
fibrosis in NAFLD and its staging.
Materials and Methods
Data were collected by laboratory tests and point shear wave elastography. A comparison of FIB-4 indexes
scores and point shear wave elastography for the staging of fibrosis in NAFLD was made based on crosstabulation of the quantitative data obtained.
Results
A positive and significant correlation between FIB4 and age, ALT, AST, RBS, AST/ ALT, AST/ UL AST,
APRI, AST/ Platelet count, and point shear wave elastography (PSWE). The correlation was negative and nonsignificant between FIB4 and Weight, Height, BMI, UL AST, TSB, and Platelet count.
Conclusion
The study observed a positive correlation between FIB-4 and PSWE. Thus, the present study proposes the
use of PSWE as a non-invasive diagnostic tool in the staging of fibrosis in NAFLD for patients with an
intermediate FIB-4 score.

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  • Published at7 March 2025

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