Can You Combine Liver Function Tests and Ultrasound in One Visit? - Gastroenterology and Hepatology

More Info

---

Yes, you can combine liver function tests, such as GOT (AST) and GPT (ALT), along with alpha-fetoprotein (AFP) testing and abdominal ultrasound in one visit. This is a common practice in clinical settings, especially for patients who are being monitored for liver diseases, such as chronic hepatitis B or C.
In many healthcare systems, including those that operate under national health insurance plans, these tests can often be covered by insurance, meaning that patients may only need to pay a small co-payment. For instance, in the context provided, patients typically only need to cover 20% of the costs, which should not exceed a total of 300 TWD for the combined tests. This makes it financially feasible for patients to undergo comprehensive evaluations without incurring significant out-of-pocket expenses.

When it comes to the tests themselves, liver function tests (LFTs) measure the levels of enzymes and proteins in the blood that indicate how well the liver is functioning. GOT and GPT are two key enzymes that can indicate liver damage or inflammation. Elevated levels of these enzymes may suggest liver conditions such as hepatitis, fatty liver disease, or liver cirrhosis.
Alpha-fetoprotein (AFP) is a protein that is typically produced by the liver and yolk sac of a developing fetus. In adults, elevated levels of AFP can be associated with liver cancer (hepatocellular carcinoma), especially in individuals with chronic liver disease. Therefore, measuring AFP levels is particularly important for patients with known liver conditions.

An abdominal ultrasound is a non-invasive imaging technique that provides a visual assessment of the liver and surrounding organs. It can help detect structural abnormalities, such as liver cirrhosis, fatty liver, tumors, or other lesions. While ultrasound is a valuable tool for assessing liver health, it is important to note that it may not detect all liver diseases, especially in the early stages. Therefore, it is often used in conjunction with blood tests to provide a more comprehensive evaluation of liver health.

In summary, combining liver function tests, AFP testing, and abdominal ultrasound in one visit is not only possible but also advisable for thorough liver health assessment. This approach allows for a more efficient evaluation of liver function and potential liver diseases, ensuring that any necessary follow-up or treatment can be initiated promptly. If you have concerns about your liver health or symptoms such as fatigue, it is essential to discuss these with your healthcare provider, who can guide you on the appropriate tests and follow-up care.