these are the tests needed to monitor hbv
hbsag quantification by abbbot architect machine will tell you the quantity of hbsag, and if you are clearing the virus
hbcab igm, quantitative, if quantitative is less than 0.08s/co immune system is inactive at the moment the test is done, so it means inactive disease
hbvdna pcr sensitivity 10-20iu/ml, tells you hbv replication level, gives an idea of liver damage and liver cancer/cirrhosis risk if continuatively high and if drugs are working when it gets undetactable by drugs, or if disease is becoming inactive when gets undetactable by itself
ultrasound, to check for liver cancer, this exam must be made every 6 months.it can detect only very advanced cirrhosis with nodules it cannot detect fibrosis or liver damage
fibroscan, it detects liver damage, fibrosis of the liver, it can monitor if therapy is doing good allowing liver regeneration
precore and bcp mutants, if present hbv is very aggressive, these mutants are considered liver cancer markers, in case positive hbvdna must be kept undetactable to prevent liver cancer
alt/ast and liver pannel tests, but these say almost nothing about general disease, they only tell you damage at the moment but not damage accumulated
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