We appreciate the interest of Dr. Changqin Jiang and colleagues in our recently published study [
1]. They noticed that we did not clarify how to diagnose chronic liver disease (cALCD). In fact, we defined the patients with liver stiffness (LS) values measured by 2D-SWE < 8 kPa to rule out compensated advanced chronic liver disease in the method section. The Baveno VI consensus has recommended when LS, measured by TE, is < 10 kPa, in the absence of clinical signs, cACLD can be ruled out, but there is no recommended cutoff value for LS measured by 2D-SWE to rule out cACLD. Therefore, based on the existing studies about 2D-SWE [
2‐
6], we defined that LS values by 2D-SWE < 8 kPa rule out cACLD. We also presented this clarification in the introduction section. …
