Non-invasive tests and markers for liver fibrosis
Ahmad, N., Abdelmoaty, M., Saleem, T., Galal, G., Morad, A. (2017). Non-invasive tests and markers for liver fibrosis. EKB Journal Management System, 21(1), 77-93. doi: 10.21608/smj.2017.40017
Nagwa Sayed Ahmad; Mohamed Abdelmoaty; Tahia Saleem; Ghada Moustafa Galal; Amira Morad. "Non-invasive tests and markers for liver fibrosis". EKB Journal Management System, 21, 1, 2017, 77-93. doi: 10.21608/smj.2017.40017
Ahmad, N., Abdelmoaty, M., Saleem, T., Galal, G., Morad, A. (2017). 'Non-invasive tests and markers for liver fibrosis', EKB Journal Management System, 21(1), pp. 77-93. doi: 10.21608/smj.2017.40017
Ahmad, N., Abdelmoaty, M., Saleem, T., Galal, G., Morad, A. Non-invasive tests and markers for liver fibrosis. EKB Journal Management System, 2017; 21(1): 77-93. doi: 10.21608/smj.2017.40017

Non-invasive tests and markers for liver fibrosis

Sohag Medical Journal
Article 8, Volume 21, Issue 1, January 2017, Page 77-93  XML PDF (155 K)
Document Type: Original Article
DOI: 10.21608/smj.2017.40017
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Authors
Nagwa Sayed Ahmad1; Mohamed Abdelmoaty1; Tahia Saleem; Ghada Moustafa Galal2; Amira Morad1
1Debartment of Biochemistry, Faculty of Medicine, Sohag University.
2Department of Tropical Medicine and Gastroenterology, Faculty of Medicine, Sohag University.
Abstract
Chronic liver disease is characterized by liver fibrosis, which may lead to cirrhosis. Conventional serum-based liver function tests do not give information on either the presence or the rate of progress of liver fibrosis. The reference diagnostic test to detect fibrosis is liver biopsy, a procedure subject to various limitations, including risk of patient injury and sampling error.
Serum markers have been evaluated for the determination of fibrosis either singly or combined as a panel of markers, however diagnostic accuracy is greatest in studies using a panel together with an algorithm, which generates a predictive score. Serum marker models, especially those targeted at hepatitis C, have multiplied in spectacular fashion over the last five years, with most models regularly achieving a median area under the receiver operating characteristic curve (ROCC) of 0.80 versus liver biopsy. Five years after publication of the first major serum marker model, the first study to document clinical outcomes reported that applying the model to hepatitis C patients improved prediction of decompensated cirrhosis and survival compared to liver biopsy.
An obstacle to widespread adoption of serum marker models has been the lack of uniform performance indicators, such as diagnostic odds ratios and likelihood ratios. This review highlights the most well-established noninvasive biomarkers to-date, with a particular emphasis on serum
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