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. Author manuscript; available in PMC: 2009 Nov 1.
Published in final edited form as: Hepatology. 2008 Nov;48(5):1549–1557. doi: 10.1002/hep.22517

Table 1.

Fibrosis Scoring Systems

Ishak Score
0 No fibrosis
1 Fibrous expansion of some portal areas, with or without short septae
2 Fibrous expansion of most portal areas, with or without short septae
3 Fibrous expansion of most portal areas with occasional portal to portal (P-P) and/or portal to central (P-C) bridging
4 Fibrous expansion of portal areas with marked bridging (P-P as well as P-C)
5 Marked bridging (P-P as well as P-C) with occasional nodules (incomplete cirrhosis)
6 Cirrhosis (probable or definite)
PBC Stage
1 No fibrosis. (There had to be some portal inflammation on the initial biopsy in order to be enrolled).
2 Non- bridging fibrosis. (Portal tracts expanded beyond the limiting plate with any degree of fibrosis less than stage 3.)
3 Bridging fibrosis (Two or more portal-portal bridges)
4 Cirrhosis (at least one regenerative nodule surrounded by fibrosis)