JGH Open (Jul 2021)

Fibroscan® probe selection for lean adults

  • Vanessa Stadlbauer,
  • Iohanes Negrean,
  • Andreas Posch,
  • Andrea Streit,
  • Nicole Feldbacher,
  • Rudolf E Stauber,
  • Angela Horvath

DOI
https://doi.org/10.1002/jgh3.12579
Journal volume & issue
Vol. 5, no. 7
pp. 750 – 753

Abstract

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Abstract Background and Aim Fibroscan® is used to assess fibrosis and steatosis of the liver noninvasively. The company suggests to use the S+‐probe in people 75 cm and adults with a skin–liver capsule distance 75 cm in fasting state and after intake of a standardized light meal (300 kcal). Results We examined 50 volunteers (26 female, 24 ± 3 years). Twenty‐two participants were in the TC ≤75 cm group and 28 in TC >75 cm group. LS values with the S+‐probe were 15% higher than with the M+‐probe in both groups (median difference 0.6 kPa, P < 0.001). Both probes showed good agreement with minimal bias (Spearman correlation r = 0.754, P < 0.001; Interclass Correlation Coefficient 0.843, P < 0.001; Bland–Altman bias 0.6 ± 0.9 kPa, linear regression r2 = 0.557, P < 0.001). Intake of a light meal had no relevant influence on LS (S+‐ and M+‐probes) or CAP measurements (M+‐probe) in both groups. Conclusion Lean adults with a TC below 75 cm can be assessed with either the S+‐probe or the M+‐probe and may take a light meal before assessment.

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