Correlation of Liver Fibroscan Results with Liver Elastographyand Liver Enzymes in Patients with Fatty Liver

Background: Accurate diagnosis of fatty liver is crucial for prognosis and treatment planning. Objectives: This study aimed to correlate liver fibroscan results with shear wave elastography and liver enzyme levels in fatty liver patients. Methods: In a cross-sectional study, 80 fatty liver patients from Shahid Motahari Clinic in Shiraz was examined over six months. Diagnoses were made using fibroscan (Echosense 500) and CAP scores, while the Hepatorenal Index was measured with shear wave elastography (Sypersonic, Aixplorer elit). Previous sonography reports were collected for correlation. Results: Patients’ average age was 50.91 years so that 45% were men, and 55% were women. About 78.8% diagnosed with fatty liver by ultrasound were also diagnosed by elastography (true positive). A weak, non-significant positive correlation was observed between the Ratio and CAP score (r = 0.18, P = 0.87). ALT predicted fatty liver by elastography with 83.6% sensitivity and 64.7% specificity. Few studies in Iran have explored elastography and fibroscan correlation in fatty liver. Conclusions: Shear wave elastography is a valuable non-invasive technique for predicting fatty liver.