Table 2. The ultrasonography diagnosis criteria of hepatic fibrosis in schistosomiasis endemic regions in China.
Grade | Diagnosis criteria |
Grade 0 | No scarring and absence of fibrosis. |
Grade I | Minimal scarring or fibrous expansion in some perisinusoidal or portal areas; an uninterrupted U-shaped echogenic band usually greater than 4 mm in diameter extended from the left portal vein bifurcation branch to the gallbladder bed. |
Grade II | Fibrous expansion and scarring in most perisinusoidal and portal/periportal, with occasional portal-to-portal bridging; an echogenic band with a diameter greater than 10 mm surrounding the central part and major branches of the portal vein, extended external surface of the liver that contains blood vessels. |
Grade III | Streak-like septal and fibrous bands of portal areas with conspicuous bridging including portal-to-portal and portal-to-central bridging, spreading into portal vein lumina and periphery of the liver. |
Grade IV | Advanced scarring or cirrhosis of the liver, usually a liver lobule completely surrounded by scarring. |