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Enhanced Liver Fibrosis (ELF) Panel Test

DNA Labs India | ISO 9001:2015 Certified

Enhanced Liver Fibrosis (ELF) Panel Test

Short Name: ELF Panel Test

Also known as: ELF Test, Liver Fibrosis Panel, ELF Score Test

Enhanced Liver Fibrosis (ELF) Panel Test test available at DNA Labs India for ₹6,500. Uses Chemiluminescent Microparticle Immunoassay on Serum samples. Results in Reports are available next day if sample is submitted by 4 PM on Monday or Thursday.. Free home collection in 300+ cities across India.

Blood TestAdults🏠 Home Collection

🩺 Medically Reviewed By

Overview

The ELF Panel Test measures the levels of Hyaluronic Acid (HA), Amino-terminal Propeptide of Type III Collagen (PIIINP), and Tissue Inhibitor of Metalloproteinase 1 (TIMP-1) to calculate an ELF score. This score helps in diagnosing liver fibrosis, assessing its severity, and monitoring disease progression in patients with chronic liver conditions.

Test Code
512
Price
₹6,500
Sample Type
Serum
Result Time
Reports are available next day if sample is submitted by 4 PM on Monday or Thursday.
Fasting Required
Yes (8 hours)
Method
Chemiluminescent Microparticle Immunoassay
Step 1

Sample Collection

Overnight fasting for 8-12 hours is mandatory. Avoid alcohol and fatty foods 24 hours before the test.

Method: Venipuncture

Step 2

Laboratory Analysis

A blood sample will be drawn from a vein in your arm by a trained technician. The procedure is quick and minimally invasive.

Step 3

Report Delivery

Apply pressure to the puncture site to prevent bleeding. Resume normal activities, but avoid strenuous exercise for a few hours.

Timeline: Reports are available next day if sample is submitted by 4 PM on Monday or Thursday.

Patient Instructions

1
Before the Test:Ensure overnight fasting and avoid alcohol for 24 hours. Inform your doctor of any medications.
2
During the Test:A small blood sample is taken from your arm. The process takes about 5-10 minutes.
3
After the Test:You may experience minor bruising at the puncture site. Results are typically available within 24-48 hours.

About This Test

Who Should Get This Test

The ELF Panel Test measures the levels of Hyaluronic Acid (HA), Amino-terminal Propeptide of Type III Collagen (PIIINP), and Tissue Inhibitor of Metalloproteinase 1 (TIMP-1) to calculate an ELF score. This score helps in diagnosing liver fibrosis, assessing its severity, and monitoring disease progression in patients with chronic liver conditions.

How to Prepare

  • Fast overnight (8-12 hours) before sample collection
  • Bring a valid ID and prescription if available
  • Wear loose clothing for easy access to the arm
  • Inform the technician of any medications or supplements

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"Early detection of liver fibrosis is crucial for preventing progression to cirrhosis. The ELF test offers a non-invasive alternative to liver biopsy, providing reliable results for timely intervention."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeSerum
Sample Volume3 mL (1.5 mL min.)
ContainerSST (Serum Separator Tube)
Collection MethodVenipuncture

Sample Stability

Room Temperature: 8 hours
Refrigerator: 1 week
Frozen: 4 weeks
Sample Rejection Criteria:
  • Insufficient sample volume
  • Hemolyzed or contaminated sample
  • Improper labeling or documentation

Understanding Your Results

The ELF score is calculated based on the levels of HA, PIIINP, and TIMP-1. A higher score indicates a greater degree of liver fibrosis. Results should be interpreted by a healthcare professional in the context of clinical history and other tests.
📊

Suggests minimal or no liver fibrosis

Range: Low ELF Score

📊

Indicates mild to moderate fibrosis; may require monitoring

Range: Intermediate ELF Score

📊

Suggests significant fibrosis or cirrhosis; further evaluation recommended

Range: High ELF Score

⚠️ When to Consult a Doctor:

Consult a doctor if your ELF test results are abnormal, if you experience persistent symptoms of liver disease, or if you have risk factors such as chronic hepatitis or heavy alcohol use.

Limitations

  • Not a standalone diagnostic tool; may require confirmation with liver biopsy
  • Results can be influenced by other fibrotic conditions
  • Reference ranges may vary between laboratories

Risks & Considerations

  • Minor pain or bruising at the blood draw site
  • Rare risk of infection or excessive bleeding
  • Slight discomfort during venipuncture

Interfering Factors

  • Hemolyzed or lipemic samples may affect results
  • Recent alcohol consumption or medication use
  • Improper sample storage or handling

Compare With Similar Tests

TestEnhanced Liver Fibrosis (ELF) Panel Test
ComparisonEnhanced Liver Fibrosis (ELF) Panel Test

Frequently Asked Questions

What is the Enhanced Liver Fibrosis (ELF) Panel Test?
The ELF Panel Test is a non-invasive blood test that measures biomarkers to assess liver fibrosis severity.
How is the ELF test performed?
A blood sample is drawn after overnight fasting, and the levels of HA, PIIINP, and TIMP-1 are analyzed.
Why is fasting required for the ELF test?
Fasting ensures accurate biomarker levels by minimizing interference from food intake.
What do the biomarkers in the ELF test indicate?
They reflect extracellular matrix turnover in the liver, helping to diagnose fibrosis.
Is the ELF test painful?
No, it involves a standard blood draw, which may cause minor discomfort.
How accurate is the ELF test for diagnosing liver fibrosis?
It is highly accurate as a non-invasive alternative, though biopsy may be needed for confirmation.
What are the risks of the ELF test?
Risks are minimal, including slight bruising or pain at the puncture site.
How long does it take to get ELF test results?
Results are typically available within 24-48 hours after sample submission.
Can the ELF test replace liver biopsy?
It can be used for initial assessment, but biopsy remains the gold standard for definitive diagnosis.
Who should take the ELF Panel Test?
Individuals with symptoms of liver disease, risk factors like hepatitis, or fatty liver disease.
How much does the ELF test cost at DNA Labs India?
The cost is INR 6500, inclusive of home sample collection.
Is home sample collection available for the ELF test?
Yes, free home collection is offered for online bookings across India.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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Your medical data is protected under Indian law.

Stored in India: All patient records are stored on servers located in India. No data is transferred outside the country.

DPDP Act Compliant: Under the Digital Personal Data Protection Act 2023, you can request deletion of your records at any time by contacting support.

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