Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital HM Sanchinarro is a private multi-specialty hospital in Madrid treating 400,000 patients annually. It has 400 doctors across 20 departments and holds EFQM and ISO 9001 certification. Its core specialties are neurosurgery, oncology, urology, and surgery.
Hospital HM Sanchinarro is a private multi-specialty hospital in Madrid treating 400,000 patients annually. It has 400 doctors across 20 departments and holds EFQM and ISO 9001 certification. Its core specialties are neurosurgery, oncology, urology, and surgery.
Dr. Lopez-jamar is a pioneer in digestive imaging and heads the Endoscopy Unit at Hospital Ruber Internacional. He uses advanced technologies like Fibroscan to assess liver health without invasive biopsies.
Dr. José Miguel Esteban Lopez-jamar is a pioneer of endoscopic ultrasound in Spain. He heads the Digestive Endoscopy and Digestive Diseases Units at Hospital Ruber Internacional. Dr. Lopez-jamar specializes in complex interventional endoscopy and minimally invasive treatments. He treats patients at a JCI-accredited hospital ranked among Spain’s top 6 medical centers.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Dr. Antonio Cubillo Gracián leads the Medical Oncology Service at HM Sanchinarro. He uses Fibroscan to assess liver health in patients with digestive and gastrointestinal cancers.
Dr. Antonio Cubillo Gracián heads the Medical Oncology Service at HM CIOCC in Madrid. He provides patients with a pioneering liquid biopsy program in Spain. This blood test identifies molecular characteristics of malignant tumors. Dr. Cubillo Gracián is an Associate Professor at the University CEU San Pablo.
Hospital HM Sanchinarro is a private multi-specialty hospital in Madrid treating 400,000 patients annually. It has 400 doctors across 20 departments and holds EFQM and ISO 9001 certification. Its core specialties are neurosurgery, oncology, urology, and surgery.
Fibroscanning (elastography, elastometry) is a modern innovative study, most often used in liver fibrosis and avoiding a more traumatic biopsy procedure. It is carried out without direct invasive intervention, while the indications have maximum accuracy and diagnostic efficiency for making a diagnosis. The safety of fibroscanning makes it possible to use the method not only as a clarifying diagnosis, but also to monitor the effectiveness of treatment in dynamics, as well as to observe pathological changes during the course of the disease.
Unlike the minimally invasive but surgical method of biopsy, the principle of fibroscanning is based on ultrasound scanning of the differences in the reflection of wave vibrations from tissues of various densities, which is transmitted to a computer monitor and processed as a result of an examination by a computer program.
The main disease in which fibroscanning is performed is liver fibrosis of various origins. Fibroscanning of the liver was developed methodically by professor-hepatologist Thierry Poinar. Currently, his invention is the world standard for diagnostics in hepatology. However, in other diseases with similar pathophysiological changes, this method is also applicable and effective.
It is used for such diseases:
However, for all its versatility, painlessness and accuracy, the method also has its contraindications:
Highly qualified specialists highly appreciated the possibilities of fiber scanning, but true professionalism lies in a balanced attitude to any methods. Therefore, the disadvantages of elastometry are also taken into account:
Preparation for the Fibroscanning procedure involves not eating a few hours before the examination, that is, you need to undergo Fibroscanning on an empty stomach. No other special preparation is required. The process itself is most similar to an ultrasound. It is carried out lying down, without pain, the result is ready immediately upon completion of the procedure.
The patient assumes a horizontal position. In the region of the sixth-eighth intercostal space, a sensor is installed, with the help of which at least seven measurements are made. The computer program of the elastomer calculates the amount of liver elasticity based on the obtained data. The conclusion on the results of the study contains information about the structure of the liver, its morphological and functional indicators. A conclusion is made about the ratio of the volume of fibrous and normal tissues.
The efficiency of elastography reaches 97%, which makes this diagnostic technique a good alternative to other studies. This type of diagnosis significantly reduces not only the discomfort of the subject and the risk of bleeding (compared to a biopsy), but also minimizes the likelihood of false results due to erroneous sampling of the biopsy. The cost of this procedure is lower than that of a biopsy and the time to results is minimal. That is why this modern and effective method quickly began to be widely and successfully used by hepatologists in Israel, Turkey, the EU countries and the United States.