Manatsathit W, et al. - Researchers assessed the performance of liver stiffness (LS), spleen stiffness (SS), and LS-spleen diameter to platelet ratio score (LSPS) for detection of esophageal varices (EV) and high risk/clinically significant EV (HREV) through a systemic review and meta-analysis. They prefered using LSPS and SS over LS when available for detection of EV. For detection of HREV, LS, SS, and LSPS cannot be recommended due to their moderate sensitivity and specificity.