Reference valuesReference values

Liver elastography / steatosis — Reference values

Liver elastography / steatosis — Reference values: Calculator — liver stiffness (kPa) + Baveno VII, Liver fibrosis — SWE (orientative), Steatosis — CAP (FibroScan).

Classifications and calculators

Calculator — liver stiffness (kPa) + Baveno VII

Range (kPa)Baveno VII / reading
< 10Compensated advanced chronic liver disease unlikely.
10–15Gray zone — suggests advanced disease, confirm.
≥ 15Compensated advanced chronic liver disease probable.
≥ 25Clinically significant portal hypertension probable (CSPH).

Fibrosis cutoffs vary by etiology and technique (TE/pSWE/2D-SWE). The calculator adjusts by etiology; quality control (IQR/median ≤0.30) is mandatory.

Source: Baveno VII 2022 / EFSUMB-WFUMB elastography guidelines

Liver fibrosis — SWE (orientative)

StageStiffness (kPa)
F0–F1< ~7
≥ F2 (significant)~ 7–8,5
≥ F3 (advanced)~ 9,5–10,4
F4 (cirrhosis)≥ ~11,3–13

Cutoffs vary by device, probe and etiology — use your scanner's table. Example values (2D-SWE).

Source: Egypt J Radiol / Radiology Key (2D-SWE)

Steatosis — CAP (FibroScan)

GradeCAP (dB/m)
S1 (> S0)≥ ~248
S2 (> S1)≥ ~268
S3 (> S2)≥ ~280

Adjust for NAFLD/diabetes (+10) and BMI. Cutoffs vary by study (222–294 dB/m).

Source: J Med Ultrason (CAP meta-análise)

All exams