Liver stiffness measurement

As any intervention in the human body carries a risk of bleeding and infection, an alternative method of determining liver stiffness has long been sought. Shear wave elastography (SWE) is an ultrasound procedure that makes it possible to reliably assess the extent of liver damage in a non-invasive way. It is used to diagnose and monitor the progress of liver scarring (fibrosis) or liver shrinkage (cirrhosis).

During the examination, liver elasticity is determined as a measure of the deformability of the liver tissue. The firmer and less elastic the liver tissue is, the faster the ultrasound waves pass through and deform the tissue. In this way, the connective tissue remodeling of the liver can be visualized in high agreement with the otherwise invasive liver biopsy. The procedure is suitable for documenting the success of drug therapy over time.

By integrating the two non-invasive methods for assessing liver tissue stiffness (RTE and SWM), a chronological assessment is possible to evaluate the progression of liver inflammation and fibrosis with greater accuracy than before.

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about the author: Dr. Stefan Schlosser is a specialist in gastroenterology and general internal medicine and holds a master's degree in health economics. With over 20 years of professional experience, he has a wealth of clinical and scientific experience. He specializes in interventional minimally invasive endoscopy, functional diagnostics and endobariology. Dr. Schlosser is a course leader for the SGUM in ultrasound training for young doctors and is a member of the Swiss, European and American Society of Gastroenterology (SGG, ESGE, ASGE). He works in an SIWF-recognized outpatient training center in Bern.