Title |
Diagnosis and staging of fibrosis in patients with chronic hepatitis C: comparison and critical overview of current strategies
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Published in |
Hepatic medicine evidence and research, April 2018
|
DOI | 10.2147/hmer.s125234 |
Pubmed ID | |
Authors |
Leandro César Mendes, Raquel SB Stucchi, Aline G Vigani |
Abstract |
In the past years, what has always been considered undisputed true in liver fibrosis staging has been challenged. Diagnostic performance of histological evaluation has proven to be significantly influenced by sample- and observer-related variabilities. Differentiation between lower levels of fibrosis remains difficult for many, if not all, test modalities, including liver biopsy but, perhaps, such a distinction is not indispensable in light of current therapeutic approaches. Biomarkers and elastography offer, nonetheless, high predictive values for advanced fibrosis and cirrhosis and correlate well with liver-related outcomes. Necroinflammation, steatosis, and hemodynamic changes may significantly interfere with elastography-based techniques, and longitudinal follow-up strategies must be tailored in light of these findings. Knowledge of different test modalities and diagnostic performance indicators can allow for better clinical decision-making and resource allocation. |
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Demographic breakdown
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Researcher | 3 | 9% |
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Other | 2 | 6% |
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