Journal
JOURNAL OF DIGESTIVE DISEASES
Volume 10, Issue 1, Pages 7-14Publisher
WILEY
DOI: 10.1111/j.1751-2980.2008.00356.x
Keywords
liver biopsy; liver fibrosis; non-invasive test; serum marker panel; transient elastography
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Funding
- Prominent National Projects of Science Technology [2008ZX10203]
- National High Technology Research and Development Program of China [2006AA02A411]
- Science and Technology Commission of Shanghai Municipality [064119519]
- Shanghai Leading Academic Discipline Project [Y0205]
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The assessment of liver fibrosis provides useful information not only for diagnosis but also for therapeutic decisions. Although liver biopsy is the current gold standard for fibrosis assessment, it has some risks and limitations, including intra-observer and inter-observer variation, sampling error and variability. In recent years, many studies and great interest have been dedicated to the development of non-invasive tests to substitute a liver biopsy for fibrosis assessment and follow up. Advances in serological and radiological tests such as serum marker panels, transient elastography and their combinations can assess fibrosis accurately and reduce the need for a liver biopsy. But at present, all have failed to completely replace a liver biopsy because of their respective limitations and an imperfect gold standard used in current researches. The searching for an ideal surrogate is still in progress.
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