FIB-4 Index

Non-invasive liver fibrosis risk estimate.

What is FIB-4 Index?

Non-invasive liver fibrosis risk estimate. FIB-4 Index is intended for use in: Adults.

How to Use the FIB-4 Index Calculator

  1. Enter Age in years.
  2. Enter AST in U/L.
  3. Enter ALT in U/L.
  4. Enter Platelet count in ×10⁹/L.
  5. Click Calculate to see your result and interpretation.

Formula & Version

This calculator uses formula version 1.0, last reviewed September 2026.

Clinical Considerations & Limitations

  • Standard cut-offs (1.45 / 3.25) were derived in HIV/HCV co-infected patients ≤ 65 years — a higher lower cut-off (≈2.0) is sometimes used in patients over 65 to reduce false positives.

References

  • Sterling RK et al., Hepatology 2006;43:1317-1325

Frequently Asked Questions

What is FIB-4 Index?

Non-invasive liver fibrosis risk estimate.

Who is FIB-4 Index intended for?

Adults. Always confirm applicability to your specific patient before use.

What are the limitations of FIB-4 Index?

Standard cut-offs (1.45 / 3.25) were derived in HIV/HCV co-infected patients ≤ 65 years — a higher lower cut-off (≈2.0) is sometimes used in patients over 65 to reduce false positives.

What formula or reference does FIB-4 Index use?

Sterling RK et al., Hepatology 2006;43:1317-1325

Is FIB-4 Index a diagnosis?

No. FIB-4 Index produces a score or estimate to support clinical decision-making — it is not a diagnosis and should be interpreted alongside full clinical judgement.

Medical Disclaimer: Medical calculators are provided for informational and educational purposes only. Results should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always verify results with a qualified healthcare professional.

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