CC BY-NC-ND 4.0 · Indographics 2022; 01(02): 171-183
DOI: 10.1055/s-0042-1759544
Review Article

Practical Steps of Shear Wave Elastography for Nonalcoholic Fatty Liver Disease in an Adult Population

Rijo Mathew Choorakuttil
1   Department of Clinical Radiology, AMMA Center for Diagnosis and Preventive Medicine, Kochi, Kerala, India
Rajas N. Chaubal
2   Department of Clinical Radiology, Thane Ultrasound Center, Thane, Mumbai, Maharashtra, India
3   Department of Clinical Radiology, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
4   Department of Radiodiagnosis, Vardhman Mahavir Medical College (VMMC) and Safdarjung Hospital, New Delhi, India
Anjali Gupta
5   Department of Clinical Radiology, Anjali Ultrasound and Colour Doppler Centre, Agra, Uttar Pradesh, India
Jitender Bansal
6   Department of Clinical Radiology, Dr Bansal Ultrasound and Mothercare, New Delhi, India
Thara Pratap
7   Department of Clinical Radiology, VPS Lakeshore Hospital and Research Center, Kochi, Kerala, India
Varsha Sodani
8   Department of Clinical Radiology, Sampurna Sodani Diagnostic Clinic, Indore, Madhya Pradesh, India
9   Department of Research, AMMA Healthcare Research Gurukul, AMMA Center for Diagnosis and Preventive Medicine, Kochi, Kerala, India
› Author Affiliations


Nonalcoholic fatty liver disease (NAFLD) is a growing epidemic worldwide and is widely prevalent in India with a community-based study in South India reporting a prevalence of 49.8%. Imaging modalities are used to screen for NAFLD, identify different stages of the disease from early to advanced stages, and to monitor the progress of the condition and responsiveness to therapy. Computed tomography and magnetic resonance imaging modalities are used to assess NAFLD but have limitations in availability and affordability. B-mode ultrasound provides a viable imaging alternative but only provides a gross assessment and the presence or absence of fibrosis. Shear wave elastography is a newer modality that allows for the measurement of tissue stiffness or elasticity in response to tissue deforming forces generated as shear waves. The changes in elasticity can usually be determined before obvious structural changes and can be used for early diagnosis of disease and to assess the progress of the condition. In this article, we present the practical steps to perform an ultrasound shear wave elastography for the assessment and staging of NAFLD.

Financial Disclosures

None of the authors have any financial interests to disclose with respect to this manuscript.

Publication History

Article published online:
19 September 2023

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