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Actitest and Fibrotest

Also known as: Actitest and Fibrotest Profile, Serum

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Actitest and Fibrotest Overview

Fibrosis is a gradual build-up of scar tissue, which can lead to liver damage. The Actitest and Fibrotest are non-invasive laboratory tests used to assess liver fibrosis and inflammation. These tests provide a quantitative evaluation of liver fibrosis and inflammation scores, offering an alternative to liver biopsy for assessing liver disease severity. The Actitest measures several markers of liver function and injury, including SGPT (alanine aminotransferase), bilirubin, GGTP (gamma-glutamyl transferase), alpha2 macroglobulin, apo A1 (apolipoprotein A1), and haptoglobulin. These markers reflect various aspects of liver health and can indicate liver inflammation and damage. The Fibrotest measures several serum markers, including alpha2 macroglobulin, apo A1, haptoglobulin, bilirubin, and gamma globulin, to assess liver fibrosis. These markers are combined with patient age and gender to calculate a Fibrotest score. Both the Actitest and Fibrotest results are interpreted in the context of a statistical analysis and comparison to reference values. The scores obtained from these tests are then used to determine the degree of liver fibrosis and inflammation. To facilitate the interpretation of these results, the scores are often presented graphically.

The Actitest and Fibrotest are non-invasive laboratory tests that provide a comprehensive assessment of liver health by evaluating the extent of fibrosis and inflammation in the liver. These tests serve as an alternative to liver biopsy, offering a less invasive means of determining the severity of liver disease. By measuring specific serum biomarkers, the Fibrotest assesses liver fibrosis, while the Actitest incorporates an additional marker to evaluate inflammatory activity.

The Actitest and Fibrotest are valuable tools for doctors in diagnosing and monitoring liver diseases, such as hepatitis B or C, and assessing the progression of liver fibrosis. These tests aid in determining the effectiveness of treatment for liver disease and assessing the risk of developing end-stage liver disease.

Reasons for Undergoing the Actitest and Fibrotest

There are several reasons why a doctor may recommend the Actitest and Fibrotest:

  • To diagnose liver diseases such as hepatitis B or C
  • To evaluate the progression of liver fibrosis
  • To monitor liver injury or damage caused by factors like alcoholism, obesity, or other metabolic conditions
  • To assess the effectiveness of treatment for liver disease
  • To determine the risk of developing end-stage liver disease
  • For individuals with a history of liver disease or risk factors such as obesity, heavy drinking, or exposure to hepatitis B or C, and those with abnormal liver function tests indicating possible liver damage

List of Parameters Considered During the Actitest and Fibrotest

The Actitest and Fibrotest measure several key parameters to assess liver health:

  • Gamma-glutamyltransferase (GGT): This enzyme is elevated in conditions that cause bile duct damage or alcohol use.
  • Total Bilirubin: High levels can indicate jaundice, liver disease, or bile duct obstruction.
  • Alpha-2-macroglobulin: This protein is elevated in conditions of liver fibrosis.
  • Apolipoprotein A1: Lower levels can indicate liver dysfunction.
  • Haptoglobin: Low levels can suggest haemolysis or liver disease, while high levels can indicate acute inflammation.
  • Alanine Aminotransferase (ALT): Added in the Actitest, ALT measures liver inflammation caused by disease.

Actitest and Fibrotest Preparation

Preparing for the Actitest and Fibrotest involves the following steps:

  • Blood Collection: Blood is drawn into a serum gel tube or a red top tube with a clot activator.
  • Protection from Light: The specimen must be protected from light after collection to ensure accurate results.
  • Centrifugation: The blood should be centrifuged within 2 hours of collection, and the serum should be aliquoted into an amber vial.
  • Delivery: The specimen should be wrapped in aluminium foil to protect it from light and delivered to the laboratory immediately for processing.

Actitest and Fibrotest Results & Interpretation

The results of the Actitest and Fibrotest are presented as scores that assess liver fibrosis and inflammatory activity:

  • Fibrosis Score (FibroTest):
    • F0: No fibrosis
    • F1: Minimal fibrosis
    • F2: Moderate fibrosis
    • F3: Advanced fibrosis
    • F4: Severe fibrosis (cirrhosis)
  • Inflammatory Activity Score (ActiTest):
    • A0: No activity
    • A1: Minimal activity
    • A2: Significant activity
    • A3: Severe activity

Scores may overlap between stages (e.g., F0/F1, F1/F2, A0/A1, A1/A2). It is advisable to consult a liver disease specialist for accurate interpretation, especially in complex cases.

Home Collection for Actitest and Fibrotest

Home sample collection for the Actitest and Fibrotest is generally not recommended due to the need for immediate processing and light protection of the specimen. However, Metropolis Healthcare offers a convenient solution for individuals who prefer home collection. A trained phlebotomist from Metropolis Healthcare will come to your doorstep to collect blood samples, ensuring comfort and safety while maintaining high standards of sample handling and testing accuracy. With timely and reliable results, Metropolis Healthcare is committed to making healthcare accessible and providing quality diagnostic solutions conveniently at home.

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Actitest and Fibrotest Profile, Serum Price

Metropolis Healthcare is a leading diagnostics centre and pathology lab in India equipped with the latest state-of-the-art technologies that provides the Actitest and Fibrotest Profile, Serum with a clear pricing structure.

The Actitest and Fibrotest Profile, Serum Price in Salem is ₹ 16,500 .

We are committed to deliver accurate and quality results from the best labs in India with complete transparency regarding test cost and turnaround time. No matter where you are, we strive to offer patients high-quality service that is affordable and accessible.

Frequently Asked Questions

Actitest and Fibrotest measure the concentration of specific proteins in your blood that indicate liver fibrosis or inflammation. These proteins include SGPT (serum glutamic-pyruvic transaminase), Bilirubin, GGTP (gamma-glutamyl transpeptidase), Alpha2 Macroglobulin, Apo A1, and Haptoglobulin with graph.

• To diagnose liver diseases such as hepatitis B or C • To evaluate the progression of liver fibrosis • To monitor liver injury or damage caused by alcoholism, obesity, or other factors • To assess the effectiveness of treatment for liver disease • To determine the risk of developing end-stage liver disease

Actitest and Fibrotest are recommended when • you have a history of liver disease or risk factors such as obesity, heavy drinking, or exposure to hepatitis B or C, • you have abnormal liver function tests indicating possible liver damage, or • you are undergoing treatment for liver disease or monitoring the efficacy of previous treatment.

Abnormal results may indicate liver inflammation or fibrosis, but further tests are needed to confirm the diagnosis.

• A healthcare professional will clean your skin with an antiseptic solution and insert a needle into your vein. • They will draw a small amount of blood into a tube which will be sent for testing.

You should inform your doctor about any medications or supplements you’re taking that might affect the test results. Inform your doctor if you have any specific requirements. You may be asked to fast for a few hours before the test.

• Liver function tests to assess liver enzymes • Viral hepatitis testing to determine if you have hepatitis B or C

Non-invasive markers of liver fibrosis

Liver fibrosis is the gradual accumulation of scar tissue in the liver, caused by chronic inflammation or injury. It can lead to cirrhosis or irreversible liver damage if left untreated.

Actitest and Fibrotest are non-invasive blood tests that help assess liver fibrosis and inflammation. They measure specific serum biomarkers to evaluate the severity of liver disease, providing an alternative to liver biopsy for diagnosing and monitoring liver conditions.

Home sample collection is generally not recommended for Actitest and Fibrotest due to the need for immediate processing and light protection of the specimen. It is best to have the blood drawn in a clinical or laboratory setting to ensure accurate results.

Normal levels for Actitest and Fibrotest are indicated by scores: F0 (no fibrosis) for Fibrotest and A0 (no activity) for Actitest. Specific numerical ranges are provided in the reports, but these scores are the primary indicators of normal or abnormal results.

Actitest and Fibrotest are used to diagnose and monitor liver diseases, evaluate the progression of liver fibrosis, assess treatment effectiveness, and determine the risk of developing end-stage liver disease. They are particularly useful for individuals with risk factors or abnormal liver function tests.

The frequency of testing for Actitest and Fibrotest depends on your specific condition and the advice of your doctor. Periodic testing may be recommended for those undergoing treatment or with ongoing risk factors for liver disease.

Several factors can affect the Actitest and Fibrotest results, including chronic haemolysis, Gilbert disease, use of certain medications like protease inhibitors in HIV treatment, and conditions that alter the levels of the biomarkers measured, such as acute inflammation or renal insufficiency.

Yes, certain medications, such as protease inhibitors used in HIV treatment, can increase levels of some biomarkers, affecting the Actitest and Fibrotest results. Consult with your doctor to interpret results accurately in such cases.

There is no specific time requirement for the Actitest and Fibrotest; however, the blood sample should be collected and handled promptly to protect it from light.

Fasting is not typically required for the Actitest and Fibrotest, but it is important to follow any specific instructions provided by your doctor or laboratory.

Before getting tested for Actitest and Fibrotest, ensure that the blood sample is protected from light and processed immediately to prevent degradation of the biomarkers. Follow any specific instructions provided by the laboratory or doctor for optimal results.

The parameters included in Actitest and Fibrotest are gamma-glutamyltransferase (GGT), total bilirubin, alpha-2-macroglobulin, apolipoprotein A1, haptoglobin, and alanine aminotransferase (ALT). These biomarkers are used to assess liver fibrosis and inflammation.

Actitest and Fibrotest should be done when recommended by your doctor, usually if you have a history of liver disease, risk factors such as obesity or heavy drinking, or abnormal liver function tests indicating possible liver damage.

The blood sample collection for the Actitest and Fibrotest typically takes only a few minutes. However, the sample needs to be centrifuged within 2 hours of collection and then sent to the laboratory for analysis, which may take a few days.

The turnaround time for Actitest and Fibrotest reports may take a week, depending on the day/time of sample collection and processing.

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