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Fibroscan (liver fibrosis assessment)

What is a Fibroscan (liver fibrosis assessment)?

Fibroscan is designed to perform non-invasive measurements of liver vibration shear wave speed and estimate liver tissue stiffness. It is based on Vibration Controlled Transient Elastography (VCTE) technology.

Fibroscan provides distinct information than an ultrasound scan, and together the two are a complementary combination. Ultrasound is typically utilised to diagnose cancer or gallstones, whereas fibroscan evaluates whether liver fibrosis or scarring is present.

Healthy livers typically have a low median Liver Stiffness Measurement (LSM).

If your LSM is above the average range, it may indicate severe liver fibrosis or cirrhosis. Consequently, if this occurs, you should consult with your doctor to discuss treatment options and consider regular monitoring for signs of liver cancer.

When a Fibroscan becomes necessary

Fibroscan is particularly invaluable when examining individuals facing chronic liver conditions. For example, hepatitis B and C, alcohol or non-alcoholic fatty liver disease (NAFLD), autoimmune liver diseases, or inherited hepatic issues. As fibrosis and scarring accumulate, liver stiffness readings steadily increase.

Fibroscan helps in assessing the need for:

How does a Fibroscan work?

During the procedure, you will be positioned to lie on the examination couch with your right arm above the head. This is so that the staff is capable of examining your abdomen to find the ideal place to perform the scan.

A probe will be laid on your abdomen. The probe features a low-amplitude vibrator which sends an elastic wave through the skin and space between ribs into the liver. Ultrasound is used to follow this shear (elastic) wave, identify its speed, and calculate an estimated stiffness of the organ. Afterwards, these results will be displayed on our system unit for you to observe.

Although it may feel uneasy, Fibroscan should not cause any discomfort. 10 readings will be carried out to guarantee a precise outcome. The entire procedure is estimated to take between 10 and 20 minutes.

Preparing for a Fibroscan

There is not much to prepare before a fibroscan. Prior to your fibroscan appointment, please make sure to check in at the clinic and be ready to get escorted to the consulting room by the medical staff for the procedure.

Before undergoing the scan, it is highly recommended that you consult with your doctor to ensure any questions are answered. If everything checks out, then proceed with the procedure, knowing you are making an informed decision on the day of your scan.

After a Fibroscan

After the fibroscan procedure is complete, you are free to head home or return to your job. It may take some time for your physician to assess the results, hence the subsequent discussion will take place during a follow-up visit.

gastroenterology specialist singapore


Dr. John Hsiang

MBChB (NZ), FRACP (Australasia), MD (Doctorate), FRCP (Edinburgh), FAMS (Gastro)

Dr. John Hsiang is a Gastroenterologist and Hepatologist with more than 20 years of clinical experience across public and private practice.

Dr. John Hsiang’s special clinical interests are in gastroesophageal reflux disease, stomach conditions, fatty liver, and gastrointestinal cancer screening

Dr. John Hsiang has spent more than five years in the Singhealth cluster serving in the Gastroenterology Department at Changi General Hospital and Sengkang General Hospital.

Clinical interests:

Gastrointestinal Diseases, Endoscopy, Helicobacter Pylori infection, Viral Hepatitis, Fatty Liver Disease, Management of Abnormal Liver tests.

Dedicated Insurance Support

We understand that navigating the financial aspect of healthcare can be overwhelming. We welcome all patients with or without insurance and can assist with claims regardless of your personal or corporate insurance plan. Here at Richmond Gastroenterology Centre, we strive to ensure the most efficient claims process for our patients. To that end, our team works diligently with their insurers to obtain Letters of Guarantee and pre-authorization certificates prior to any procedures.

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Dr. John Hsiang is an Accredited Specialist Across All Private Hospitals in Singapore.