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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
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Related Experiment Video

Updated: Oct 28, 2025

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Fibroscan® probe selection for lean adults.

Vanessa Stadlbauer1, Iohanes Negrean1, Andreas Posch1

  • 1Division of Gastroenterology and Hepatology, Department of Internal Medicine Medical University of Graz Graz Austria.

JGH Open : an Open Access Journal of Gastroenterology and Hepatology
|July 15, 2021
PubMed
Summary
This summary is machine-generated.

FibroScan® probes S+ and M+ can assess liver stiffness in lean adults with a thoracic circumference (TC) ≤75 cm. A light meal before the noninvasive liver assessment does not impact results.

Keywords:
agreementbiasexaminationliver stiffnessmealpreparationsteatosisthoracic circumferencetransient elastography

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Area of Science:

  • Hepatology
  • Medical Imaging
  • Noninvasive Diagnostics

Background:

  • FibroScan® is a noninvasive tool for assessing liver fibrosis and steatosis.
  • Manufacturer guidelines recommend specific probes (S+ or M+) based on patient age and thoracic circumference (TC).
  • No comparative studies exist for lean adults with TC ≤75 cm, and fasting requirements are unclear.

Purpose of the Study:

  • To compare FibroScan® S+ and M+ probes for liver stiffness (LS) and controlled attenuation parameter (CAP) in healthy adults with TC ≤75 cm versus TC >75 cm.
  • To evaluate the impact of fasting versus a light meal on LS and CAP measurements in these groups.

Main Methods:

  • Compared LS using FibroScan® S+ and M+ probes in 50 healthy volunteers stratified by TC (≤75 cm vs. >75 cm).
  • Assessed CAP using the M+ probe.
  • Evaluated measurements in both fasting state and after a standardized light meal (300 kcal).

Main Results:

  • LS values were consistently 15% higher with the S+ probe compared to the M+ probe across both TC groups (P < 0.001).
  • Both probes demonstrated good agreement and minimal bias (Spearman's r = 0.754, ICC = 0.843).
  • A light meal did not significantly influence LS or CAP measurements in either group.

Conclusions:

  • Lean adults with a TC ≤75 cm can be accurately assessed for liver stiffness using either the S+ or M+ probe.
  • Fasting is not required; a light meal can be consumed before FibroScan® assessment in this population.