Beyond being a marker of injury, liver fibrosis plays a direct role in the pathogenesis of hepatocellular dysfunction and portal hypertension. This process includes patients with NASH, NAFLD or Alcoholic Steatosis as well as chronic hepatitis B or C. Liver biopsy is the gold standard in diagnosing cirrhosis but is poorly suited for active monitoring due to expense and co-morbidity. For more information on Shear Wave Elastography, click here