Conversation: The conversation between human and AI assistant.
[|Human|] My husband has an elevated liver enzymes. One of which was more the double what is normal not sure which one it was a number of 18 and normal is 8 I believe. Now an MRI will be scheduled and then biopsy? What is that enzyme test not an alt or ast. The word cancer was mentioned. It s upsetting to say the least
[|AI|]  Thanks for your question on Chat Doctor. In my opinion enzymes other than ALT and AST, which suggest malignancy are1. GET (Gamma Gluten Transferase)2. ALP (Alkaline Phosphates).GGT is elevated if tumor in liver causes obstruction in the billiard system. ALP is again raised in liver cancers as it is produced by liver. So mostly these two enzymes are responsible for probability of malignancy in your husbands case. Better to get done CT or MRI and guided biopsy.  As biopsy is the diagnostic test for malignancy.