Evaluation of Liver Fibrosis through Noninvasive Tests in Steatotic Liver Disease

Liver fibrosis, a critical predictor of the prognosis of metabolic dysfunction-associated steatotic liver disease (MASLD), is traditionally diagnosed via biopsy. Nevertheless, non-invasive alternatives, such as serum biomarkers, vibration-controlled transient elastography, and magnetic resonance ela...

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Main Author: Yuri Cho
Format: Article
Language:English
Published: Jin Publishing & Printing Co. 2024-11-01
Series:The Korean Journal of Gastroenterology
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Online Access:https://www.kjg.or.kr/journal/view.html?uid=6061&vmd=Full
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author Yuri Cho
author_facet Yuri Cho
author_sort Yuri Cho
collection DOAJ
description Liver fibrosis, a critical predictor of the prognosis of metabolic dysfunction-associated steatotic liver disease (MASLD), is traditionally diagnosed via biopsy. Nevertheless, non-invasive alternatives, such as serum biomarkers, vibration-controlled transient elastography, and magnetic resonance elastography, have become prominent because of the limitations of biopsies. Serum biomarkers, such as fibrosis-4 index and NFS Score, are also used widely, offering reliable diagnostic performance for advanced fibrosis. Vibration-controlled transient elastography and shear wave elastography provide further non-invasive evaluations with high diagnostic accuracy, particularly for advanced fibrosis, but the results may be affected by factors such as obesity. Magnetic resonance elastography, with superior diagnostic accuracy and operator independence, is a promising method, but its high cost and limited availability restrict its widespread use. Emerging algorithms, such as NIS4, FAST, or MAST score, have strong potential in identifying high-risk metabolic dysfunction-associated steatohepatitis patients. The integration of multiple non-invasive methods can optimize diagnostic accuracy, reducing the need for invasive biopsies while identifying patients at risk of liver-related complications. Further research is needed to refine these diagnostic tools and improve accessibility.
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spelling doaj-art-f1669d6570704ca98a3db448795a648c2025-01-03T05:12:53ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692024-11-0184521522210.4166/kjg.2024.103Evaluation of Liver Fibrosis through Noninvasive Tests in Steatotic Liver DiseaseYuri Cho0https://orcid.org/0000-0002-4488-5352Center for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang, KoreaLiver fibrosis, a critical predictor of the prognosis of metabolic dysfunction-associated steatotic liver disease (MASLD), is traditionally diagnosed via biopsy. Nevertheless, non-invasive alternatives, such as serum biomarkers, vibration-controlled transient elastography, and magnetic resonance elastography, have become prominent because of the limitations of biopsies. Serum biomarkers, such as fibrosis-4 index and NFS Score, are also used widely, offering reliable diagnostic performance for advanced fibrosis. Vibration-controlled transient elastography and shear wave elastography provide further non-invasive evaluations with high diagnostic accuracy, particularly for advanced fibrosis, but the results may be affected by factors such as obesity. Magnetic resonance elastography, with superior diagnostic accuracy and operator independence, is a promising method, but its high cost and limited availability restrict its widespread use. Emerging algorithms, such as NIS4, FAST, or MAST score, have strong potential in identifying high-risk metabolic dysfunction-associated steatohepatitis patients. The integration of multiple non-invasive methods can optimize diagnostic accuracy, reducing the need for invasive biopsies while identifying patients at risk of liver-related complications. Further research is needed to refine these diagnostic tools and improve accessibility.https://www.kjg.or.kr/journal/view.html?uid=6061&vmd=Fullsteatotic liver diseasenoninvasiveliver fibrosis
spellingShingle Yuri Cho
Evaluation of Liver Fibrosis through Noninvasive Tests in Steatotic Liver Disease
The Korean Journal of Gastroenterology
steatotic liver disease
noninvasive
liver fibrosis
title Evaluation of Liver Fibrosis through Noninvasive Tests in Steatotic Liver Disease
title_full Evaluation of Liver Fibrosis through Noninvasive Tests in Steatotic Liver Disease
title_fullStr Evaluation of Liver Fibrosis through Noninvasive Tests in Steatotic Liver Disease
title_full_unstemmed Evaluation of Liver Fibrosis through Noninvasive Tests in Steatotic Liver Disease
title_short Evaluation of Liver Fibrosis through Noninvasive Tests in Steatotic Liver Disease
title_sort evaluation of liver fibrosis through noninvasive tests in steatotic liver disease
topic steatotic liver disease
noninvasive
liver fibrosis
url https://www.kjg.or.kr/journal/view.html?uid=6061&vmd=Full
work_keys_str_mv AT yuricho evaluationofliverfibrosisthroughnoninvasivetestsinsteatoticliverdisease