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Lab Test

Enhanced liver fibrosis

The Enhanced Liver Fibrosis (ELF) Panel is a blood test that is used to assess the severity of liver fibrosis. Liver fibrosis is a condition where the normal liver tissue becomes scarred due to chronic inflammation and injury. This panel specifically measures the levels of three biomarkers – Hyaluronic acid (HA), Amino-terminal propeptide of type III procollagen (PIIINP), and Tissue inhibitor of metalloproteinase 1 (TIMP-1). These markers are associated with the extracellular matrix remodeling which is a key process in the development of liver fibrosis. By quantifying these markers, the ELF panel helps in evaluating the extent of liver fibrosis, which is crucial for the management and treatment of chronic liver diseases such as hepatitis and fatty liver disease.


  • Profile Name Enhanced Liver Fibrosis
  • Sample Type Blood
  • Preparations Required No special preparation is required for this test. Fasting is not necessary. However, it is recommended to avoid alcohol and excessive physical activity for 24 hours before the test.
  • Report Time 9 days

The ELF panel is often used when there is a need to assess the liver's condition without resorting to a liver biopsy, which is more invasive. It provides valuable information on the extent of fibrosis and can be critical in making decisions regarding the urgency and type of treatment required.

Home Sample Collection Process

1
Book your convenient slot
Book your convenient slot
2
Sample Collection by Phlebotomist
Sample Collection by Phlebotomist
3
Reporting of the sample at lab
Reporting of the sample at lab
4
Download Reports
Download Reports

Note: Home Sample Collection is only for Pathology lab tests.

Frequently Asked Questions

The ELF panel is done to assess the degree of liver fibrosis or scarring. It is especially useful in chronic liver diseases such as hepatitis B, hepatitis C, and non-alcoholic fatty liver disease to monitor the progression and help make treatment decisions.

A blood sample is taken from a vein in your arm using a needle. The blood is then sent to a laboratory for analysis.

High levels of the markers HA, PIIINP, and TIMP-1 in the blood are indicative of liver fibrosis. The combination of these markers is used to calculate the ELF score. A higher ELF score suggests more severe fibrosis.

Yes, the ELF panel can be used to monitor the efficacy of treatment for chronic liver diseases. A decrease in the ELF score over time might indicate an improvement in liver fibrosis.

The ELF panel is a non-invasive test and does not have the risks and complications associated with liver biopsy. It can also be used to monitor liver fibrosis over time without repeated biopsies.

While the ELF panel is useful in assessing liver fibrosis, it is not definitive. In some cases, a liver biopsy may still be necessary for a conclusive diagnosis.

Certain medications, alcohol consumption, and excessive physical activity prior to the test can affect the levels of the biomarkers and hence the results of the ELF panel.

Managing the underlying cause of liver fibrosis, such as controlling hepatitis infections or reducing alcohol consumption, can sometimes prevent or slow the progression of fibrosis. In some cases, fibrosis may even be partially reversible with proper management.

The ELF panel is usually done when a patient has a chronic liver disease and the doctor wants to assess the degree of liver fibrosis in order to make treatment decisions.

No, the ELF panel can be repeated at intervals to monitor the progression of liver fibrosis, especially in patients undergoing treatment for liver diseases.

Liver fibrosis is the initial scarring of the liver, while cirrhosis is a more advanced stage of fibrosis where the liver has extensive scarring and its function is significantly impaired.

You should consult a hepatologist or gastroenterologist if you have high levels of liver fibrosis.

Yes, adopting a healthy diet, exercising regularly, and avoiding alcohol can have positive effects on liver health and may slow the progression of liver fibrosis.

Liver fibrosis itself is not painful, but as it progresses it can lead to complications such as portal hypertension and liver failure, which can cause abdominal pain.

If left untreated, liver fibrosis can progress to cirrhosis, liver failure, and increase the risk of liver cancer. It can also cause portal hypertension, which is increased blood pressure in the portal vein, leading to complications such as varices and ascites.

Proactive about your liver health is critical, especially if you have a chronic liver condition. The ELF panel offers a non-invasive way to assess liver fibrosis and make informed decisions about your treatment and management. Be sure to discuss your results with your doctor, and ask questions if there’s anything you don’t understand. Together, you and your doctor can work on a plan to best manage your liver health.

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