title: Assessment of fibrosis in chronic liver diseases.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200001, China.
authors.forename: Kun
authors.initials: K
authors.lastname: Zhou
authors.forename: Lun Gen
authors.initials: LG
authors.lastname: Lu
mesh_terms: D015415:Biomarkers / Q000097:blood; D001707:Biopsy, Needle; D001783:Blood Flow Velocity; D038524:Diffusion Magnetic Resonance Imaging; D006521:Hepatitis, Chronic / Q000473:pathology*; D006801:Humans; D008103:Liver Cirrhosis / Q000175:diagnosis / Q000473:pathology* / Q000517:prevention & control; D012698:Serologic Tests
chemical_list: D015415:Biomarkers