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To evaluate the value of shear wave elastic imaging (SWE) in the classification of esophageal varices (EV) and detection of rupture hemorrhage. A total of 120 patients with clinically diagnosed cirrhosis were selected from October 2017 to October 2018 and underwent ultrasonography, endoscopy, and laboratory examinations. Several factors, including gender, age, body mass index (BMI), aspartate aminotransferase (AST), AST to platelet count ratio index (APRI), portal vein diameter, platelet count, spleen thickness, liver stiffness (LS), and s