Published online May 27, 2013. doi: 10.4254/wjh.v5.i5.264
Revised: March 1, 2013
Accepted: March 6, 2013
Published online: May 27, 2013
Core tip: Transient elastography (TE, Fibroscan®) is a non-invasive tool with satisfactory accuracy to estimate liver fibrosis and steatosis. Liver stiffness measurement (LSM) with TE has been well validated to detect advanced fibrosis in most liver diseases. LSM is useful in predicting hepatocellular carcinoma (HCC), portal hypertension, post-operative complications in HCC patients, and survival. The new XL probe increases the success rate of TE in obese patients. A novel ultrasonic controlled attenuation parameter (CAP) of the machine is useful to detect steatosis noninvasively. Simultaneous LSM and CAP results make TE very convenient to assess any patients with suspected or confirmed liver diseases.