Welcome, Guest. Please login or register.
March 28, 2024, 01:05:15 pm

Login with username, password and session length


Members
  • Total Members: 6307
  • Latest: golfer
Stats
  • Total Posts: 55125
  • Total Topics: 4851
  • Online Today: 108
  • Online Ever: 1314
  • (June 22, 2016, 05:23:42 am)
Users Online
Users: 0
Guests: 90
Total: 90

Welcome

Welcome to the Hep Forums, a round-the-clock discussion area for people who have Fatty Liver Disease, Hepatitis B, C or a co-infection, their friends and family and others with questions about hepatitis and liver health. Check in frequently to read what others have to say, post your comments, and hopefully learn more about how you can reach your own health goals.

Privacy Warning: Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.
  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.
  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.
  • Product advertisement (including links); banners; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from the Hep Forum Moderators.
Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Results of Fibro Scan.  (Read 9250 times)

0 Members and 1 Guest are viewing this topic.

Offline sandrooney

  • Member
  • Posts: 43
Results of Fibro Scan.
« on: September 23, 2017, 07:26:02 am »
Just got results of my first Fibro Scan . F4 ... Only got to talk to the NP's assistant and she had no input other than the number. Can't talk to the NP till next week she was out of the office.
Any input from the forum would be greatly appreciated. I am a little freaked. EOT was almost 2 months ago and I was undetected. Biopsy in 04 showed F2 to 3 out of 4 . Biopsy in 07 showed F2 out of 4.
Thanks a lot
SR

Offline gnatcatcher

  • Member
  • Posts: 1,372
Re: Results of Fibro Scan.
« Reply #1 on: September 23, 2017, 11:11:02 am »
sandrooney, this is probably nothing to worry about. An F4 FibroScan result covers a huge range of kPA values (a far larger range than any lower fibrosis category), so you might barely have crossed over from F3. Also, FibroScan scores can be off if you didn't fast for at least three hours before the test (longer may result in a lower kPA score), or if your ribs are close together such that a ping or two hit a rib instead of the liver, or if you have a lot of abdominal fat.

Before treatment, I had a FibroScan one day and a FibroSure (blood test) two days later. The FibroScan put me at F4, but the FibroSure result was F2. Also, the longer I've been cured, the lower my FibroScan score has gotten.

Being F3 or F4 does mean getting an ultrasound every six months for peace of mind, but unless your hep doc has detected any other reason for a cirrhosis label, you may actually be more like an F3, and you may find your F score dropping the longer you stay cured.

Gnatty
9/29/71 transfusions
HCV genotype 1a
7/09/15-9/30/15 Harvoni

Before treatment:
Viral Load 9,490,582
FibroScan 19.5 kPa [F4]
ALT 262
AST 217
ALP 183

Most recent:
VL still UNDETECTED (SVR 102)
FibroScan 7.6 kPa [F1-2]
ALT 15
AST 20
ALP 85

Offline sandrooney

  • Member
  • Posts: 43
Re: Results of Fibro Scan.
« Reply #2 on: September 23, 2017, 06:37:04 pm »
Thanks gnatcatcher. That will help me sleep better till I can talk to my NP next week. As a matter for fact when the girl was doing the Scan she had to call a more experienced person in cause my ribs were to close together for her to feel she was getting an accurate reading. So the rib thing could be an issue.
I am not going to worry much about it .
Thanks again
SR



 

Offline gnatcatcher

  • Member
  • Posts: 1,372
Re: Results of Fibro Scan.
« Reply #3 on: September 23, 2017, 07:58:17 pm »
My ribs make life difficult for them, too. They now remove the pillow and tell me to curve myself like a banana in order to widen the gaps.

A few other things about FibroScans I forgot to mention:
1. There is more than one wand available, so I hope they chose the appropriate one.
2. Operator inexperience has been cited as affecting the accuracy of the results.
3. There's one setting the operator has some discretion over. The only reason I know this is because I told the operator who was about to do my first post-treatment scan that I hoped I would score below ___ (I forget the kPa value) because then the hepatologist would be returning me to my PCP for follow-up. I came in just slightly above that value, so the operator said she was allowed to nudge a setting slightly. She did so and did a whole new set of readings. That brought me slightly below the target value, but the joke was on me, because the hepatologist decided he wanted to see me again anyway :(

Have a wonderful Sunday!
9/29/71 transfusions
HCV genotype 1a
7/09/15-9/30/15 Harvoni

Before treatment:
Viral Load 9,490,582
FibroScan 19.5 kPa [F4]
ALT 262
AST 217
ALP 183

Most recent:
VL still UNDETECTED (SVR 102)
FibroScan 7.6 kPa [F1-2]
ALT 15
AST 20
ALP 85

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,543
  • Get tested, get treated, get cured, fight Hep c!
Re: Results of Fibro Scan.
« Reply #4 on: September 23, 2017, 09:09:20 pm »
Any idea what your platelet count is? Often people with cirrhosis will have platelet counts well below normal
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline sandrooney

  • Member
  • Posts: 43
Re: Results of Fibro Scan.
« Reply #5 on: September 25, 2017, 10:11:08 am »
Sorry Lynn. I am out of town and can't get to that info right now. I will be home next week and look it up. IIRC the platelets were a little low but that could have been the treatment.

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,543
  • Get tested, get treated, get cured, fight Hep c!
Re: Results of Fibro Scan.
« Reply #6 on: September 25, 2017, 12:25:00 pm »
Ok no worries

I was diagnosed with cirrhosis in Jan 2008 by liver biopsy. My Fibroscan was 27 in October 2014.

My platelet count had been in the 80 to 90 range before treatment now after treatment it has risen to about 110 which is still well below the normal minimum of 150 but improved so that is a good thing :)

Safe travels
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline sandrooney

  • Member
  • Posts: 43
Re: Results of Fibro Scan.
« Reply #7 on: October 01, 2017, 03:34:21 pm »
Hi Lynn,
I just got back and looked up my PLT count. EOT they were 100. Before treatment they were 74.
Thanks,
SR

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,543
  • Get tested, get treated, get cured, fight Hep c!
Re: Results of Fibro Scan.
« Reply #8 on: October 01, 2017, 05:33:09 pm »
So without knowing anything else and I am not a doctor I do think you may have cirrhosis but that is best discussed with your doctor.

As Gnatty has said some here have improved after treatment but even so I have been living with cirrhosis for over 9 years. It just means you have to be careful and have your blood testing and abdominal ultrasound done ever 6 months. One can live a normal life with cirrhosis especially with cure of hep c.

Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

 


© 2024 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.