Table 1. Categories depending on the accuracy of cirrhosis diagnosis.
| Category | Basis of diagnosis |
|---|---|
| Definite cirrhosis | ▪ Either histological features of cirrhosis and/or radiological features suggestive of liver cirrhosis (irregular or undulated liver surface with heterogeneous or coarse echotexture) with splenomegaly, collateral vessels, ascites and dilated portal vein (PV). ▪ With/without biochemical tests showing raised aminotransferases (with aspartate aminotransferase > alanine aminotransferase usually), high bilirubin, and low albumin associated with low platelet count and high prothrombin time (PT) or international normalized ratio (INR). |
| Probable cirrhosis | ▪ Either irregular or undulated liver surface or heterogeneous or coarse echotexture on radiological images. With or without extrahepatic features such as enlarged spleen, collateral vessels, ascites, and dilated PV ▪ With/without biochemical tests showing high bilirubin, low albumin, low platelet count, or increased INR or PT. |
| Possible cirrhosis | ▪ Biochemical tests show raised bilirubin and decreased albumin. ▪ Hematological tests showing low platelet count or high INR or PT, but no histological or radiological tests to confirm the diagnosis. |