Velacur Liver Elastography

Velacur Liver Elastography

Get a Clearer Picture of Your Liver Health Without Surgery

If you've been diagnosed with fatty liver disease, hepatitis, MASH, or another liver condition, understanding the extent of liver damage is a critical part of your care. Velacur liver elastography is a fast, painless, and non-invasive procedure that gives our specialists a detailed look at the health of your liver without the need for a surgical biopsy. Our team uses this advanced technology to accurately assess liver stiffness and fat content, helping us catch fibrosis and other liver changes early so we can build the most effective treatment plan for you. Call today at 704-288-4045 to schedule your appointment.

What is Velacur Liver Elastography?

Velacur is an advanced liver elastography system used to non-invasively measure liver stiffness and fat content. Liver stiffness is a key indicator of fibrosis, the buildup of scar tissue that occurs when the liver is repeatedly damaged or inflamed. By measuring how sound waves travel through liver tissue, Velacur can detect fibrosis and fat accumulation at earlier stages than traditional imaging, giving your care team the information needed to monitor your liver health and guide treatment decisions.

What Conditions Can Velacur Detect?

Velacur liver elastography is used to evaluate a range of liver conditions, including:

  • Metabolically-dysfunction-associated steatotic liver disease (MASLD), formerly known as NAFLD
  • MASH (metabolic dysfunction-associated steatohepatitis)
  • Liver fibrosis and cirrhosis
  • Alcoholic liver disease
  • Chronic hepatitis B and C
  • Other conditions causing chronic liver inflammation or scarring
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Why Velacur Instead of a Liver Biopsy?

Traditionally, a liver biopsy was the only reliable way to assess the degree of liver fibrosis and fat accumulation. While biopsy remains the definitive diagnostic tool in some cases, it is invasive, carries risks, and can be uncomfortable for patients. Velacur liver elastography offers a safe, painless alternative that provides reliable results in minutes. It eliminates the need for needles, anesthesia, or recovery time, making it an ideal option for routine liver monitoring and early detection of liver changes.

What To Expect During the Procedure

Velacur liver elastography is a quick and comfortable outpatient procedure. Here is what you can expect:

  • The procedure typically takes 10 to 15 minutes from start to finish.
  • You will lie on your back with your right arm raised behind your head.
  • A small probe is placed on the skin over your liver, similar to a standard ultrasound.
  • The probe sends gentle sound waves through the liver tissue and measures how quickly they travel; stiffer tissue indicates more fibrosis.
  • A controlled attenuation parameter (CAP) score is also captured to measure the amount of fat in the liver.
  • The procedure is completely painless, requires no sedation, and you can return to normal activities immediately afterward.

How To Get Diagnosed

Our gastrointestinal specialists in Salisbury and Concord may recommend Velacur liver elastography as part of your diagnostic process, including:

  • Routine liver health monitoring for patients with known liver conditions such as MASLD, MASH, or chronic hepatitis.
  • Follow-up assessment for patients who have been treated for liver disease to track progress and response to treatment.
  • Initial evaluation when blood tests or imaging suggest liver abnormalities that require further investigation.
  • Ongoing screening for patients with significant risk factors for liver fibrosis, including obesity, type 2 diabetes, or heavy alcohol use.

Are There Any Risk Factors That Make Velacur Recommended?

Certain factors may lead your specialist to recommend Velacur liver elastography. These include:

  • A diagnosis of MASLD, MASH, or non-alcoholic fatty liver disease
  • Chronic hepatitis B or C infection
  • Obesity or type 2 diabetes with suspected liver involvement
  • Elevated liver enzymes (ALT, AST) on routine blood work
  • A family history of liver disease or cirrhosis
  • Long-term use of medications that can affect the liver
  • Heavy or chronic alcohol use
  • Previous abnormal liver imaging results

What Do the Results Mean?

Velacur provides two key measurements that help your specialist assess your liver health:

Liver Stiffness Score
Measures the degree of fibrosis present in the liver; a higher stiffness score indicates more advanced scarring, which your doctor will interpret alongside your full medical history and other test results.

Controlled attenuation parameter (CAP) score
Measures the amount of fat present in the liver; elevated CAP scores indicate steatosis (fatty liver), which can range from mild to severe.

Your gastroenterologist will review your results with you and explain what they mean for your diagnosis, treatment plan, and ongoing monitoring schedule.

Frequently asked questions icon

Frequently Asked Questions About Velacur Liver Elastography

How is Velacur different from a standard ultrasound?

While a standard ultrasound can detect structural abnormalities and fat in the liver, it cannot reliably measure the degree of fibrosis or quantify fat content with precision. Velacur uses specialized elastography technology to measure liver stiffness and a CAP score to quantify fat accumulation, giving your doctor far more detailed and actionable information about your liver health than a routine ultrasound provides.

How often will I need Velacur monitoring?

The frequency of Velacur monitoring depends on your specific liver condition, disease stage, and treatment plan. Some patients may be monitored annually, while others with more advanced disease or active treatment may be assessed more frequently. Your gastroenterologist will recommend a monitoring schedule tailored to your individual needs and health goals.

Is Velacur liver elastography painful?

No, Velacur liver elastography is completely painless. The procedure involves placing a small probe on the skin over your liver, similar to a standard ultrasound. There are no needles, no incisions, and no sedation required. Most patients find the procedure quick and comfortable, and you can return to your normal daily activities immediately after.

Can Velacur detect liver cancer?

Velacur is designed to assess liver stiffness and fat content rather than directly detect liver tumors or cancer. However, identifying advanced fibrosis and cirrhosis through Velacur is clinically important because patients with cirrhosis have a significantly elevated risk of developing liver cancer. Detecting cirrhosis early allows your care team to implement appropriate surveillance strategies for liver cancer.

How long does the Velacur procedure take?

The procedure is very quick, typically taking between 10 and 15 minutes from start to finish. No preparation or recovery time is needed, making it a convenient option for routine liver monitoring and follow-up care.

Who is not a candidate for Velacur liver elastography?

Velacur may not be suitable for all patients. Results can be less reliable in individuals with a BMI over 40, significant ascites (fluid in the abdomen), or certain anatomical considerations. Pregnancy may also affect the suitability of the procedure. Your gastroenterologist will evaluate your individual situation to determine whether Velacur is the right tool for your liver assessment or whether alternative testing is more appropriate.

How should I prepare for Velacur liver elastography?

Your specialist will provide specific instructions before your appointment. Generally, patients are asked to fast for at least two hours before the procedure, as food intake can temporarily affect liver stiffness readings. Wearing comfortable, loose-fitting clothing that allows easy access to your right side is also recommended.

What happens after my Velacur results come back?

Once your results are available, your gastroenterologist will review them with you and discuss what they mean in the context of your overall liver health. Depending on your results, your doctor may recommend lifestyle changes, medication, further testing, or a follow-up elastography scan at a future date. The goal is to use your results to guide a proactive and personalized plan for protecting your liver health long-term.

How accurate is Velacur compared to a liver biopsy?

Velacur liver elastography is a well-validated, highly accurate tool for assessing liver fibrosis and fat content. While a liver biopsy remains the definitive diagnostic standard in certain clinical situations, Velacur provides reliable and reproducible results that are sufficient for routine monitoring and treatment decisions in the majority of patients. Your gastroenterologist will determine when a biopsy may still be necessary based on your individual case.

Does insurance cover Velacur liver elastography?

Coverage for Velacur liver elastography varies by insurance plan and clinical indication. Our team can help verify your coverage and walk you through any questions about costs before your procedure. We encourage you to contact our office directly so we can assist you in understanding your benefits and what to expect.

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