Liver Elastography (e.g. FibroScan®)

What is liver elastography?

Liver elastography is a quick, painless and non-invasive examination used to assess liver stiffness (fibrosis) and, when the appropriate software is used, the degree of fatty change in the liver (steatosis). The examination is performed using a specialised ultrasound device, so no needles, anaesthesia or other invasive procedures are required.

This examination helps diagnose and monitor chronic liver diseases, assess the severity of liver damage and determine whether further tests or treatment are needed. Elastography is commonly performed in people with metabolic dysfunction-associated steatotic liver disease (MASLD), viral hepatitis, alcohol-related liver disease and other chronic liver conditions.

How is liver elastography performed?

• The examination is performed while the patient lies on their back.
• The doctor or nurse places a specialised probe against the right side of the body between the ribs.
• Several measurements are taken, which takes only a few minutes.
• The entire examination usually takes 5–10 minutes and is completely painless.

How should I prepare for liver elastography?

• Do not eat or consume calorie-containing drinks for at least 3–4 hours before the examination, as eating may temporarily increase liver stiffness and affect the accuracy of the results.
• You may drink water.
• Take essential medicines as usual with a small amount of water.
• No special diet or other preparation is required.

After the examination

• You may return to your usual activities and eat and drink immediately after the examination.
• Your doctor will assess the results together with your blood test results, medical history and any other examinations you have undergone. It is important to understand that elastography results alone do not establish a diagnosis – they are always interpreted in the context of your overall clinical circumstances.