Non-Invasive markers for hepatic fibrosis

<p>Abstract</p> <p>With great advancements in the therapeutic modalities used for the treatment of chronic liver diseases, the accurate assessment of liver fibrosis is a vital need for successful individualized management of disease activity in patients. The lack of accurate, repro...

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Main Authors: Lal Priyanka, Baranova Ancha, Birerdinc Aybike, Younossi Zobair M
Format: Article
Language:English
Published: BMC 2011-08-01
Series:BMC Gastroenterology
Online Access:http://www.biomedcentral.com/1471-230X/11/91
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author Lal Priyanka
Baranova Ancha
Birerdinc Aybike
Younossi Zobair M
author_facet Lal Priyanka
Baranova Ancha
Birerdinc Aybike
Younossi Zobair M
author_sort Lal Priyanka
collection DOAJ
description <p>Abstract</p> <p>With great advancements in the therapeutic modalities used for the treatment of chronic liver diseases, the accurate assessment of liver fibrosis is a vital need for successful individualized management of disease activity in patients. The lack of accurate, reproducible and easily applied methods for fibrosis assessment has been the major limitation in both the clinical management and for research in liver diseases. However, the problem of the development of biomarkers capable of non-invasive staging of fibrosis in the liver is difficult due to the fact that the process of fibrogenesis is a component of the normal healing response to injury, invasion by pathogens, and many other etiologic factors. Current non-invasive methods range from serum biomarker assays to advanced imaging techniques such as transient elastography and magnetic resonance imaging (MRI). Among non-invasive methods that gain strongest clinical foothold are FibroScan elastometry and serum-based APRI and FibroTest. There are many other tests that are not yet widely validated, but are none the less, promising. The rate of adoption of non-invasive diagnostic tests for liver fibrosis differs from country to country, but remains limited. At the present time, use of non-invasive procedures could be recommended as pre-screening that may allow physicians to narrow down the patients' population before definitive testing of liver fibrosis by biopsy of the liver. This review provides a systematic overview of these techniques, as well as both direct and indirect biomarkers based approaches used to stage fibrosis and covers recent developments in this rapidly advancing area.</p>
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spelling doaj.art-3ebb45c6df50405fb50adde7c5e31ab22022-12-21T22:02:31ZengBMCBMC Gastroenterology1471-230X2011-08-011119110.1186/1471-230X-11-91Non-Invasive markers for hepatic fibrosisLal PriyankaBaranova AnchaBirerdinc AybikeYounossi Zobair M<p>Abstract</p> <p>With great advancements in the therapeutic modalities used for the treatment of chronic liver diseases, the accurate assessment of liver fibrosis is a vital need for successful individualized management of disease activity in patients. The lack of accurate, reproducible and easily applied methods for fibrosis assessment has been the major limitation in both the clinical management and for research in liver diseases. However, the problem of the development of biomarkers capable of non-invasive staging of fibrosis in the liver is difficult due to the fact that the process of fibrogenesis is a component of the normal healing response to injury, invasion by pathogens, and many other etiologic factors. Current non-invasive methods range from serum biomarker assays to advanced imaging techniques such as transient elastography and magnetic resonance imaging (MRI). Among non-invasive methods that gain strongest clinical foothold are FibroScan elastometry and serum-based APRI and FibroTest. There are many other tests that are not yet widely validated, but are none the less, promising. The rate of adoption of non-invasive diagnostic tests for liver fibrosis differs from country to country, but remains limited. At the present time, use of non-invasive procedures could be recommended as pre-screening that may allow physicians to narrow down the patients' population before definitive testing of liver fibrosis by biopsy of the liver. This review provides a systematic overview of these techniques, as well as both direct and indirect biomarkers based approaches used to stage fibrosis and covers recent developments in this rapidly advancing area.</p>http://www.biomedcentral.com/1471-230X/11/91
spellingShingle Lal Priyanka
Baranova Ancha
Birerdinc Aybike
Younossi Zobair M
Non-Invasive markers for hepatic fibrosis
BMC Gastroenterology
title Non-Invasive markers for hepatic fibrosis
title_full Non-Invasive markers for hepatic fibrosis
title_fullStr Non-Invasive markers for hepatic fibrosis
title_full_unstemmed Non-Invasive markers for hepatic fibrosis
title_short Non-Invasive markers for hepatic fibrosis
title_sort non invasive markers for hepatic fibrosis
url http://www.biomedcentral.com/1471-230X/11/91
work_keys_str_mv AT lalpriyanka noninvasivemarkersforhepaticfibrosis
AT baranovaancha noninvasivemarkersforhepaticfibrosis
AT birerdincaybike noninvasivemarkersforhepaticfibrosis
AT younossizobairm noninvasivemarkersforhepaticfibrosis