Liver fibrosis can be assessed by non-invasive ultrasound elastography.

Diagnosis and assessment of liver fibrosis is of great importance for initiating treatment and starting hepatocellular carcinoma surveillance in patients with established cirrhosis. Liver biopsy is still considered the gold standard for liver fibrosis staging, however; it is far from perfect. Non-invasive assessment of liver fibrosis is becoming more available and is well tolerated. This review describes the feasibility and reliability of two elastography methods: transient elastography and Acoustic Radiation Force Impulse-elastography.