When would you choose to measure a patient's spleen stiffness?

While there is data to support the use of spleen stiffness to assess for clinically significant portal hypertension, spleen stiffness has not yet made the leap to clinical care, at least in my practice. One population where I would consider using it would be in patients with Fontan-associated liver ...

Although the literature says that measuring spleen stiffness can help to stratify degree of portal hypertension, I am not a believer of measuring spleen or liver stiffness for that matter, as it is so operator dependent. You should be able to evaluate the patient clinically to assess for the degree ...

I agree with Dr. @Dr. First Last regarding measuring spleen stiffness in the Fontan population, we still need validating data. Some of these patients are asplenic.

I use spleen stiffness to select patients for EGD screening for varices, but is by no means perfect, meaning some had no varices at all.