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. 2014 Aug 25;9(8):e105995. doi: 10.1371/journal.pone.0105995

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.