[Shear-wave elastography for liver fibrosis]
Rodriguez B, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A.
Record ID 32018001536
Spanish
Original Title:
Elastografía de onda de corte (shear wave) en fibrosis hepática
Authors' recommendations:
CONCLUSIONS
No evidence on the clinical impact that the use of shear-wave elastography may have on detecting liver fibrosis versus other non-invasive imaging diagnostic methods has been found. No evidence directly comparing the diagnostic accuracy and performance of shear-wave versus transient (Fibroscan) or magnetic resonance elastography in liver fibrosis assessment has been found either.
Low-quality evidence suggests that shear-wave elastography might have good diagnostic accuracy in cirrhosis of the liver (F4 in the fibrosis METAVIR score), and that it would be slightly lower for advanced stages of fibrosis (?F3) and significant fibrosis (?F2), when compared with liver biopsy.
The clinical practice guidelines consulted mention it among the alternatives for assessment of patients experiencing liver conditions with fibrosis.
Most health payers consulted do not mention or cover shear-wave elastography and those who do expressly mention its coverage, only do it for viral hepatitis.
Details
Project Status:
Completed
Year Published:
2019
URL for published report:
https://www.iecs.org.ar/home-ets/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Hepatitis
- Liver Cirrhosis
- Elasticity Imaging Techniques
- Liver Function Tests
- Diagnostic Imaging
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.