Along these lines, ILCA recommends delivering surveillance with ultrasound not only to those with cirrhosis but also to those with METAVIR stage F3 fibrosis and high scores of GALAD, a phase III validated biomarker that includes gender, age, AFP-L3, AFP, and des-gamma—carboxy prothrombin (DCP) level [10,45,46]. Here, AFP is linked to Cirrhosis.