Elf test normal range. 8: Liver referral, ensure NILS and liver ultrasound performed. However, there is a need for independent validation of the ELF score with regard to validated reference val-ues, influencing factors and suitable cut-off values. 51, then advanced liver fibrosis is unlikely. 67 (Indeterminate) ELF <9. Special precautions & notes: Only available to primary care. 7–10 ELF is included as a Background and aims: The enhanced liver fibrosis (ELF) score is a blood test that combines three markers linked to liver fibrosis. a. Reference Values Reference Range (s) <9. Only assayed if abnormal FIB-4 result. k. Treat metabolic risk factors and if there is ongoing risk suggest repeating test in 3 years. Nov 17, 2022 · ELF score defines a three-marker fibrosis test (TIMP-1, PIIINP, HA) for assessing advanced fibrosis in NAFLD, guiding referrals and monitoring intervals. Conclusions: The ELF score can predict moderate fibrosis and cirrhosis. Recommend referral to Metabolic Hepatology Clinic. 67 for NAFLD/MASLD or 1. The Enhanced Liver Fibrosis (ELF) Score is a noninvasive test that indicates whether a patient with NASH and advanced fibrosis has a higher or lower risk of disease progression to cirrhosis (for those with F3 fibrosis) or other liver-related clinical events (for those with F3 or F4 fibrosis) within 1 to 4 years. 1 Sequential Testing Strategy Step 1: Calculate FIB-4 as initial screening 1 Step 2: If FIB-4 is indeterminate, obtain ELF score 1 Reference Values Reference Range (s) <9. . It is indicated as a prognostic marker in conjunction with other laboratory findings and clinical assessments in patients with advanced fibrosis (F3 or F4) due to nonalcoholic Mar 13, 2026 · Explore the normal blood sugar range chart including fasting, post-meal, and HbA1c values. 25 for other etiologies). Dec 14, 2025 · Understand RBC test results: Learn about normal, high, and low RBC ranges and what they mean for your health. FIB-4 1. The utility of the ELF score has been demonstrated primarily in Western countries, but whether it is useful in areas The Enhanced Liver Fibrosis score (ELF score) Liver fibrosis can result from a number of pathological processes, the most common being chronic hepatitis B & C, alcohol abuse, and non-alcohol-related steatohepatitis (NASH). Enhanced liver fibrosis test Condition / Indication: Liver fibrosis marker for investigation of NAFLD. A worrying trend is the increasing numbers of cases of cirrhosis due to Nov 11, 2025 · When to Use ELF Testing Guidelines recommend ELF as a second-line test when FIB-4 is in the indeterminate range (1. Complications include progression to cirrhosis, end stage liver disease and hepatocellular carcinoma. The Enhanced Liver Fibrosis (ELF™) blood test is a simple, accurate, non-invasive test that provides a simple, unitless numeric score that is generated via an algorithm for use in advanced liver fibrosis. ELF ≥9. The ELF test is a non-invasive blood test which combines three direct serum biomarkers of liver fibrosis. 5 High risk for advanced liver fibrosis. Reference range: >9. However, there is a need for independent validation of the ELF score with regard to validated reference values, influencing factors and suitable cut-off values. An ELF Score ≥10. It is indicated as a prognostic marker in conjunction with other laboratory findings and clinical assessments in patients with advanced fibrosis (F3 or F4) due to nonalcoholic ELF Sample type: Serum Test name: ELF a. 3-2. The ELF score consisting of single markers of hepatic matrix metabolism is one of the first commercially available serum mul-timarker fibrosis tests. As per the locally agreed primary care pathway, the ELF test should be considered for the assessment of liver fibrosis in adult patients with NAFLD. Nov 30, 2025 · Average Vitamin D Levels by Age Group The 25-hydroxy vitamin D blood test can determine vitamin D levels. 3 - 2. Know the ideal glucose range and tips to manage blood sugar effectively. 80 ELF score ranges and associated risk of disease progression (development of cirrhosis or liver-related events): ELF score validity was superior to the results of the single tests. 80 ELF score ranges and associated risk of disease progression (development of cirrhosis or liver-related events): The Enhanced Liver Fibrosis (ELF™) blood test is a simple, accurate, non-invasive test that provides a simple, unitless numeric score that is generated via an algorithm for use in advanced liver fibrosis. 3-3. 5 Low risk for advanced liver fibrosis. The results may be reported in nanograms per milliliter (ng/mL) or nanomoles per liter (nmol/L). 51 suggests advanced liver fibrosis and is an indication for referral to a specialist in hepatology. The ELF score consisting of single markers of hepatic matrix metabolism is one of the first commercially available serum multimarker fibrosis tests. If the ELF Score is <10. However, influence factors such as gender and age need to be taken into account. kamcj xnp gjzz crcp poqxeetw eofog qvj cwvkc oawl iyylnlc