Liver ultrasound
Standard diagnostic liver ultrasound without elastography.
£219
A private liver stiffness and fibrosis assessment combining conventional liver ultrasound with shear wave elastography on the GE LOGIQ E10s. The test measures liver stiffness in kilopascals (kPa) and helps support non-invasive fibrosis assessment.
Medically reviewed by Mr Pedram Aghaei & Dr Babak Soleimanpour · Review details
Liver Shearwave is a private ultrasound elastography test that measures liver stiffness in kilopascals (kPa). It is commonly used as a FibroScan alternative for patients with fatty liver, abnormal liver blood tests, fibrosis risk, alcohol-related liver concerns, viral hepatitis monitoring or previous abnormal liver imaging. At London Private Ultrasound, Liver Shearwave is available at 27 Welbeck Street in the Harley Street medical district, with liver ultrasound + elastography priced at £499 and standalone Liver Shearwave priced at £359 when a recent suitable liver ultrasound is already available.
Private Liver Shearwave at London Private Ultrasound is a non-invasive ultrasound-based liver stiffness test performed on the GE LOGIQ E10s at 27 Welbeck Street, London W1G 8EN. The bundled liver ultrasound + SWE appointment costs £499; standalone liver elastography costs £359 if you already have a recent conventional liver ultrasound. SWE measures liver stiffness in kPa and supports assessment of liver fibrosis. It is a FibroScan alternative, but not the same device: FibroScan uses transient elastography, while LPU uses shear wave elastography built into a premium diagnostic ultrasound system.
| Service | Conventional liver ultrasound with shear wave elastography measurement. |
|---|---|
| Main purpose | Non-invasive liver stiffness and fibrosis assessment, interpreted with ultrasound findings and clinical context. |
| Machine | GE LOGIQ E10s — GE HealthCare premium ultrasound system with hardware-integrated shear wave imaging. |
| Bundled price | £499 for liver ultrasound + shear wave elastography in one appointment. |
| Standalone SWE | £359 if you already have a recent conventional liver ultrasound report. |
| Conventional scan only | £219 for conventional liver ultrasound without SWE. |
| Preparation | 2-hour fast before the appointment. Water is permitted. |
| Referral | No GP referral required. Direct booking by phone, WhatsApp or online. |
| Available at | London only: 27 Welbeck Street, London W1G 8EN. Not currently available at St Albans. |
| Report | Verbal explanation in the scan room; written report within 24 hours. |
General information, not a diagnosis; for severe, sudden or worsening symptoms seek urgent medical care / call 999.
| Fatty liver screening / Abnormal LFTs | First-line: Conventional Liver Ultrasound (£219) |
|---|---|
| Fibrosis risk assessment / Known NAFLD/MASLD | First-line: Liver Ultrasound + SWE (£499) |
| Recent conventional scan requiring stiffness measure | First-line: Standalone Liver SWE (£359) |
Standard diagnostic liver ultrasound without elastography.
£219
Conventional liver ultrasound and shear wave elastography measurement in one appointment.
£499
Elastography measurement only, where you already have a recent conventional liver ultrasound.
£359
Lowest entry: Standard Liver Ultrasound without SWE from £219.
FibroScan® is a dedicated transient elastography device that measures liver stiffness. It is commonly used in hepatology pathways for non-invasive fibrosis assessment.
LPU performs shear wave elastography on the GE LOGIQ E10s. This means the stiffness measurement is performed during the same appointment as a conventional liver ultrasound, allowing the consultant to assess both liver appearance and kPa values together.
Liver SWE helps assess liver stiffness, which can rise when fibrosis develops. It is used as a non-invasive way to support fibrosis staging in conditions such as fatty liver disease, alcohol-related liver disease, chronic viral hepatitis and other chronic liver conditions.
Provides a numerical kPa measurement that can support assessment of fibrosis severity.
Useful when fatty liver has been identified or suspected and fibrosis risk needs further assessment.
May support assessment when ALT, AST, GGT or other liver markers are abnormal.
Can be repeated to monitor change where clinically appropriate.
Conventional liver ultrasound is performed in the same visit to look at liver texture, bile ducts and focal lesions.
No radiation, no contrast injection and no biopsy during the scan.
The SWE measurement gives a liver stiffness value in kilopascals. Higher values can suggest higher fibrosis risk, but thresholds vary depending on the underlying condition and the technology used.
| Lower values | Usually suggest little or no significant fibrosis (F0-F1), depending on the clinical context. |
|---|---|
| Intermediate values | May indicate moderate fibrosis (F2-F3) and require correlation with blood tests, risk factors, previous imaging or specialist review. |
| Higher values | May raise concern for advanced fibrosis or cirrhosis (F4) and often require hepatology referral or further investigation. |
| Liver cancer | SWE is not a liver cancer screening test. Conventional ultrasound may detect focal lesions that require CT, MRI or specialist review. |
Upon arrival, your consultant will have a short clinical chat regarding your history, previous liver blood tests (LFTs), and specific lifestyle or medical factors.
You will simply need to lift your top to expose your abdomen. We will confirm you have completed the 2-hour fasting requirement, as food intake temporarily alters liver stiffness readings.
Warm gel is applied. The consultant will conduct a thorough conventional liver ultrasound, then switch the GE LOGIQ E10s to SWE mode to measure tissue stiffness (kPa) across multiple samples.
Once complete, the consultant will wipe away the gel and explain the findings to you verbally in the scan room, providing immediate clarity before your written report arrives.
We believe in transparent safety-netting. Here is what happens depending on your scan findings:
Findings typical of mild fatty liver (steatosis) with normal stiffness (F0-F1). We provide reassurance, lifestyle/dietary guidance, and recommend routine checks.
If ultrasound and SWE reveal elevated stiffness suggesting moderate fibrosis (F2-F3), we issue a detailed report and advise sharing this with your GP or hepatologist for correlation.
If high stiffness suggesting cirrhosis (F4) or suspicious focal liver lesions are identified, we formulate an urgent referral letter directly for your GP or a specialist hepatology clinic.
For rare, active, severe emergencies discovered incidentally (e.g., portal vein thrombosis or active bleeding), we will direct you to call 999 or attend A&E immediately.
Book online, by phone or WhatsApp. No GP referral is required.
Before the scan begins, a short conversation confirms the scan booked is the right one for your needs to ensure maximum clinical value.
Attend our Central London clinic. Please ensure you have fasted for 2 hours prior to the appointment (water is permitted).
The consultant performs a conventional liver ultrasound, followed by a shear wave elastography measurement to gauge stiffness.
Findings are explained verbally at the time, with the written report sent within 24 hours.
Based on findings, the clinician provides clear recommendations for reassurance, lifestyle/dietary guidance, or onward care with your GP or hepatologist.
Liver Shearwave provides a non-invasive liver stiffness measurement that can support fibrosis risk assessment. Results must be interpreted with liver blood tests, clinical history, alcohol intake, metabolic risk factors, viral hepatitis status, body habitus, fasting status and conventional ultrasound findings.
Liver stiffness values can support assessment of fibrosis risk in fatty liver disease, alcohol-related liver disease, viral hepatitis monitoring and other chronic liver conditions.
Liver Shearwave does not replace hepatology review, liver biopsy, blood tests, CT, MRI or cancer surveillance where these are clinically indicated.
This service is currently available at our London clinic only: 27 Welbeck Street, London W1G 8EN, in the Harley Street medical district. It is convenient for patients travelling from Marylebone, Mayfair, Bond Street, Oxford Circus, Baker Street, Fitzrovia and across Greater London.
27 Welbeck Street, London W1G 8EN
Harley Street medical district. Close to Bond Street, Oxford Circus and Baker Street stations.
Liver shear wave elastography is not currently available at the St Albans clinic. Please book the London site for this service.
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Your scan is performed and reported by the clinical ultrasound team. The written report is signed off by the reporting consultant.
It is an ultrasound-based test that measures liver stiffness in kilopascals. It supports non-invasive assessment of liver fibrosis and is performed together with conventional liver ultrasound.
A conventional liver ultrasound is £219. Liver ultrasound plus SWE is £499. Standalone liver SWE is £359 if you already have a recent conventional liver ultrasound elsewhere.
No. FibroScan is a dedicated transient elastography device. Liver SWE at LPU is performed on the GE LOGIQ E10s. Both measure liver stiffness in kPa, but they use different technology. SWE is performed during the same appointment as a full conventional liver ultrasound.
Yes. A 2-hour fast is recommended to optimize the accuracy of the liver stiffness reading, as digestion temporarily alters liver blood flow. Water is permitted.
No GP referral is required. You can book directly online, by phone or via WhatsApp.
Liver SWE can support assessment of advanced fibrosis or cirrhosis risk, but diagnosis is made by your treating clinician or hepatologist using all clinical information, including blood tests and medical history.
No. SWE is not a liver cancer screening test. Conventional ultrasound may identify suspicious focal lesions that require CT, MRI, blood tests or specialist review.
It has reduced the need for biopsy in many fibrosis-staging situations, but biopsy may still be required in selected cases. A hepatologist decides this based on the clinical picture.
It is available at 27 Welbeck Street, London W1G 8EN. It is not currently available at St Albans.
The consultant explains findings verbally in the scan room and the written report is usually sent within 24 hours.
Yes. It uses diagnostic ultrasound, with no ionising radiation, no contrast injection and no biopsy.
Bring prior liver blood tests (such as LFTs), previous ultrasound reports, previous FibroScan results, hepatology letters, medication list or GP referral letter if available.
Book directly at London Private Ultrasound, 27 Welbeck Street, W1G 8EN. No GP referral required. Please fast for 2 hours before your appointment.
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