Overview
FibroScan (transient elastography) sends a brief, painless mechanical pulse into your liver and measures how fast it travels. A stiffer liver = more scarring (fibrosis). Combined with measurement of fat content (CAP — Controlled Attenuation Parameter), it provides a snapshot of both fibrosis and steatosis. Replacing liver biopsy in most patients.
Who needs it
Chronic hepatitis B or C
MASLD/MASH (fatty liver)
Autoimmune hepatitis, PBC, PSC
Alcohol-related liver disease
Suspected cirrhosis in any chronic liver disease
Risks
No risks — completely safe and non-invasive
May be technically difficult in obese patients (XL probe usually solves this)
Not accurate immediately after eating, with severe ascites, or with active hepatitis flare
Before the procedure
Fast for 2-3 hours before the scan (food affects liver stiffness measurement).
Wear comfortable clothing — you'll need to expose the right side of the abdomen.
No medication restrictions.
When to See a Doctor
Call your doctor or go to emergency if after the procedure you have severe or worsening abdominal pain, fever, repeated vomiting, heavy bleeding, black stools or fainting.
Why it is done
To stage liver fibrosis in chronic liver disease (MASLD, hepatitis B/C, autoimmune liver disease, alcohol-related liver disease) WITHOUT needing a biopsy. To monitor response to treatment over time. To screen for cirrhosis in high-risk populations.
During the procedure
You lie flat on your back with your right arm above your head. The technician applies gel to the right side of your chest and presses a small probe between your ribs. You feel a brief, harmless mechanical pulse with each measurement (like a small flick). 10 measurements are taken — the whole thing is over in 5-10 minutes.
After the procedure
No recovery needed. Resume all normal activity immediately. Results are usually available the same day or within 1-2 days.
When you get the results
Same day or within 1-2 days.
Alternatives
Liver biopsy (gold standard but invasive, painful, 1-2 day recovery, small bleeding risk). MR elastography (more accurate but expensive, less available). Blood-based scores (FIB-4, APRI) — first-step but less precise.
In Saudi Arabia
FibroScan is widely available at major Saudi hospitals and many private clinics. Most insurance plans cover it. Often included in MASLD and hepatitis B/C management protocols.
Questions to ask your doctor
• What stage of fibrosis am I in?
• How often should I repeat this test?
• Could I avoid liver biopsy?
Source and review
This guide comes from the Saudi Gastroenterology Association (SGA) patient library, prepared by the SGA Patient Education Panel. Last reviewed: 2026-04-24. It is for education and does not replace your doctor's advice.
Frequently Asked Questions
What is FibroScan (Liver Stiffness Test)?
Why is FibroScan (Liver Stiffness Test) done?
What are the risks of FibroScan (Liver Stiffness Test)?
How do I prepare for FibroScan (Liver Stiffness Test)?
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