“…Although the "rule of five" for LSM is proposed as the tool to stratify the risk of liver related events and amongst others to rule in (LSM > 25 kPa) and rule out (LSM 15 kPa and platelet count 150 × 10 9 /L) CSPH in patients with viral hepatitis, alcoholic and non-obese steatotic liver disease, it still needs further refinement given that fact 40-50% of patients are left in a diagnostic grey zone [80 , 81] . Moreover, broad dissemination, acceptance and large-scale practical implementation of this novel concept remains far from daily clinical reality according to a recent survey [82] . The current BAVENO VI-VII algorithm is graphically summarized in Fig.…”