Pharma

Biography

Dr. Naila Atif, MBBS, FCPS, FCP, MIAC is a Professor and Head of pathology Department Azra Naheed Medical College Lahore, Pakistan

 

Abstract

Liver biopsy examination is a tool which gives a detail description of the necroinflammatory activity and degree of fibrosis to treat the patient accordingly for its prognosis. Biopsies can be examined by different scoring systems like old qualitative classification Knodell histology activity index (HAI), Ishak modified HAI, Scheuer scoring system, Metavir system, Batts Ludwig system. The objective of the talk will be to identify the merits and demerits of different scoring systems and to compare different scoring systems used for this purpose. One hundred and twenty reported copies of patients having chronic viral hepatitis were retrieved from computer system. Then slides were taken out for these reports. Slides were analyzed for grading and staging using different scoring systems. Biopsies with 6-8 portal areas were included. Patients with incomplete history were excluded from study. It was concluded that it doesn’t matter which system you use. More complex systems can provide more information than simple ones, but they are less reproducible. So the system preferred by you should be the one, better correlated and understood by the clinician.