Sunday, October 19, 2025

Discordance between Liver Biopsy and FibroTest in Assessing Liver Fibrosis in Chronic Hepatitis B

Authors: Mi Sung Park, Beom Kyung Kim, Jae Yoeun Cheong, Dong Joon Kim, Jun Yong Park, Do Young Kim, Sang Hoon Ahn, Kwang-Hyub Han, Chae Yoon Chon, Seung Up Kim

DOI: 10.1371/journal.pone.0055759

Abstract Summary

FibroTest, a non-invasive alternative to liver biopsy, accurately predicts liver fibrosis in hepatitis B patients. However, this study of 330 Asian patients found discordance in 9.1% of cases, primarily underestimating fibrosis severity. Advanced fibrosis (F3-4) was the only independent predictor of mismatch, with discordance rates five times higher in severe cases.

Why Brain? 🧠

FibroTest underestimates advanced liver fibrosis (F3-4) in 9% of Asian chronic hepatitis B patients compared to biopsy, potentially missing critical cases needing treatment.


The image is AI-generated for illustrative purposes only. Courtesy of Midjourney.

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