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Metavir
The Metavir scoring system was specially designed for
patients with hepatitis C.  The scoring consists of using a
grading and a staging system.  The grade gives an indication
of the activity or amount of infammation and the stage
represents the amount of fbrosis or scarring. 
The grade is assigned a number based on the degree of
infammation, which is usually scored from 0-4 with 0 being
no activity and 3 or 4 considered severe activity.  The amount
of infammation is important because it is considered a
precursor to fbrosis. 
The fbrosis score is also assigned a number from 0-4:
•  0 = no scarring
•  1 = minimal scarring
•  2 = scarring has occurred and extends outside
         the areas in the liver that contains blood vessels
•  3=bridging fbrosis is spreading and
    connecting to other areas that contain fbrosis
•  4=cirrhosis or advanced scarring of the liver

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