Hepatitis C (cont.)
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What other tests diagnose hepatitis C?
Once the diagnosis of hepatitis C is established, other tests may be done to determine whether the patient has developed liver fibrosis or scarring (cirrhosis). This can be done with a needle biopsy of the liver, and examining the biopsied liver tissue under the microscope. Liver biopsy is less commonly done today because non-invasive tests (without invading the liver) are more readily available, more easily accomplished and less costly.
Liver imaging can evaluate fibrosis using ultrasound and MRI scans. Additionally, calculations using a variety of blood tests (FibroSure, FibroTest, Hepascore, FibroSpect, APRI) also can predict the degree of inflammation and fibrosis present. Genotype testing will typically be done to determine what subtype of hepatitis C the patient has, as this will impact what drugs are used for treatment. Testing for other infections including HIV, hepatitis A, and hepatitis B also are typically done to determine if the patient might have other conditions that could impact patient's treatment and prognosis.
Medically Reviewed by a Doctor on 3/18/2016
Robert Cox, MD
Bhupinder Anand, MD
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