Limitations and opportunities of non-invasive liver stiffness measurement in children

Figure 2 Acoustic radiation force impulse measurement of the liver in a 16-year-old female patient with cystic fibrosis. Hyperechoic liver parenchyma with irregular liver surface in fibrotic liver parenchyma was revealed. The shear wave velocity was 2.3-3.82 m/s in multiple measurements, significantly above normal values. The same patient had undergone a Fibroscan and the results showed a stiffness of 21.3 ± 2.5 kPa. Six months previously, another Fibroscan had shown a value of 20.4 ± 2.8 kPa.