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979080 tn?1323437239

Hepatology needs to enter the 21st Century ?

http://ihlpress.com/pdf%20files/hepdart09_presentations/liver/5_afdal_HepDart%202009%20Afdhal.pdf

Thought this is a very interesting presentation not to miss that is why posted it again on its own.

Bali05
29 Responses
148588 tn?1465782409
Interesting, but reads like a sales pitch. Most reputable studies will clearly state whether or not the authors have a financial stake or other interest in the products involved.
475555 tn?1469307939
Thanks. Good link. A very interesting and sound comparative study, I thought, which corroborates my own experience: Fibroscan unreliable (I had two, F3/F4 and F1/F2!), biopsy a little better but you have to wait years for a second one to show any relaible changes, and it (biopsy) is just as observer-sensitive as Fibroscan.

In other words, as yet there is no trustworthy test for fibrosis staging.

However, the article's conclusion (the only thing that means anything is whether or not you've got cirrosis) begs the issue. There is a crying need for a test that reliably shows fibrosis progression, the only way to guage how far off cirrosis is.

Thanks again for the article, though. The biopsy slides are especially good, and hard to find.

Mike
87972 tn?1322664839
"There is a crying need for a test that reliably shows fibrosis progression, the only way to guage how far off cirrosis is."

It's called autopsy, Mike.

Bill
475555 tn?1469307939
:-(
Avatar universal
Agreed about autopsy. Pathologist is the best diagnostician.

But, I think, most of us here want to avoid this test for as long as possible.
979080 tn?1323437239
thanks for interpreting some of it. I am not that great with charts.

By the way forum member willing send me that link

don`t want it to look like I am taking credit for it
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