1

votes

Ultrasound or liver labs?

Answered on August 19, 2014
Created October 17, 2012 at 2:37 AM

What's more informational ??? vague ultrasound picture or liver lab? Please elaborate! Thank you!

77877f762c40637911396daa19b53094

(78467)

on October 17, 2012
at 08:30 PM

Great answer, thanks!

363d0a0277a8b61ada3a24ab3ad85d5a

(4642)

on October 17, 2012
at 05:34 AM

Very true! It definitely goes both ways. I figure it's best to take both of them, especially since neither is invasive.

77877f762c40637911396daa19b53094

(78467)

on October 17, 2012
at 03:49 AM

Expecially on LC diets, liver can be very good-looking on ultrasound, but have distorted markers, especially alkaline phosphatase and lipide profile!

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5 Answers

1
394492a4bc534ad39091792287fddd96

on October 17, 2012
at 05:50 PM

I'm a radiologist and the liver labs would be more specifically informative (ie. determining liver function).... the appearance of non alcoholic fatty liver vary greatly on ultrasound. The sonographic exam will however give you a good idea on liver enlargement and popper blood flow to the organ. Also with the scan they will not just be examining your liver but your abdomen as a whole (pancreas, kidneys, great vessels, gb, spleen) and you can garner beneficial information from this.

A good rule of thumb: lab results are better for functional analysis, ultra for structural. If it were me I would get both

77877f762c40637911396daa19b53094

(78467)

on October 17, 2012
at 08:30 PM

Great answer, thanks!

1
77877f762c40637911396daa19b53094

(78467)

on October 17, 2012
at 07:28 AM

Bloods are very informative on liver function. The ultrasound will inform on gross liver structure and can reveal larger abnormalities such as cysts.

Your doctor will determine the most appropriate test.

1
Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on October 17, 2012
at 03:33 AM

Both are indicative, not definative, from what I understand. Theres a new form of liver ultrasound that might be better. I think you generally get more info from liver labs, but its usually hard to know whats causing them (although there are certain trends with particular enzymes).

Usually ultrasound is a first port of call scan because its cheaper. MRI, CT etc are usually far better.

Id say thusly, the labs are more informational. US usually only picks up very obvious structural things, whereas MRI, CT give a much clearer picture of structure, and not everything is structural.

0
089dd41b18fbb95ebb5347cded708d98

(5635)

on October 17, 2012
at 09:50 PM

i had an MRCP of my liver and my doctor said it's a great test to see if anything is wrong. i also get blood work done every month.

0
363d0a0277a8b61ada3a24ab3ad85d5a

(4642)

on October 17, 2012
at 03:46 AM

I would do both if you are trying to diagnose some issue. Sometimes your liver enzymes can be normal but an ultrasound will show any physical problems that might not be chemically apparent yet. Also, it can show gallbladder and possible gallstones.

363d0a0277a8b61ada3a24ab3ad85d5a

(4642)

on October 17, 2012
at 05:34 AM

Very true! It definitely goes both ways. I figure it's best to take both of them, especially since neither is invasive.

77877f762c40637911396daa19b53094

(78467)

on October 17, 2012
at 03:49 AM

Expecially on LC diets, liver can be very good-looking on ultrasound, but have distorted markers, especially alkaline phosphatase and lipide profile!

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