Management of Hepatitis C Infection

  • Authors: Jordan J. Feld, MD, MPH; Hemant Shah, MD, MScCH HPTE (More Info)
  • Editor In Chief: Stefan Zeuzem, MD
  • Last Reviewed: 7/24/18 (What's New)


  • Hepatitis fibrosis assessment using liver biopsy, imaging, and/or noninvasive tests is recommended before HCV treatment (Management Guidelines)[AASLD-IDSA HCV]; degree of fibrosis influences likelihood of response and length of therapy
  • Various noninvasive measures for assessing fibrosis are available (Table 21)
  • Transient elastography, an ultrasound-based assessment of liver stiffness, is a noninvasive means of measuring liver fibrosis

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