A simple score that uses AST and platelets to estimate liver scarring risk.
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Clinicians use APRI to estimate liver scarring (fibrosis) and possible cirrhosis without a biopsy. It helps guide follow-up, such as elastography or ultrasound, and can track changes over time in chronic hepatitis or fatty liver. Results can support decisions about referral to a liver specialist. You can test this marker with Aniva across Germany and Finland.
Clinicians use APRI to estimate liver scarring (fibrosis) and possible cirrhosis without a biopsy. It helps guide follow-up, such as elastography or ultrasound, and can track changes over time in chronic hepatitis or fatty liver. Results can support decisions about referral to a liver specialist. You can test this marker with Aniva across Germany and Finland.
High: May suggest a higher chance of significant liver scarring. Your clinician may consider elastography, ultrasound, or other blood tests; review alcohol, medicines, and metabolic health.
Low: May indicate a low likelihood of advanced scarring. Continue routine monitoring if you have ongoing risks. Cutoffs vary by condition; your clinician interprets results with your history and other tests.
Common factors include recent hard exercise or muscle injury (raises AST), alcohol, and some medicines or supplements that affect the liver or platelets. Acute illness, dehydration, and pregnancy can change results. Sample issues like hemolysis or platelet clumping may skew measurements.
Special situations: In pregnancy, chemotherapy, or acute hepatitis, confirm results with repeat testing and supportive tests (e.g., elastography) before decisions.
What does an APRI result mean? A higher score suggests a greater chance of significant liver scarring; a lower score suggests less. It is one part of the overall assessment.
Do I need to fast for APRI? No. Fasting is not required for AST or platelet count.
What can affect my APRI? Recent intense exercise, alcohol, some medicines or supplements, pregnancy, and acute illness can change AST or platelets.
How often should I check APRI? It depends on your condition and risk factors. Many people repeat it periodically to track changes.
How long do results take? Most labs report APRI within a few business days.
What should I discuss with my clinician? Share your medicines, alcohol use, viral hepatitis history, and metabolic risks. Ask if imaging or other scores are recommended.
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