☆ 4.5 Review

Non-invasive imaging biomarkers for liver steatosis in non-alcoholic fatty liver disease: present and future

CLINICAL AND MOLECULAR HEPATOLOGY (2023)

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Article Gastroenterology & Hepatology

Real-world assessment of SmartExam, a novel FibroScan computational method: A retrospective single-center cohort study

Asako Nogami et al.

Summary: This study compared the diagnostic accuracy of conventional and SmartExam-equipped FibroScan for liver stiffness measurement and found that both methods performed similarly. Although the SmartExam-equipped FibroScan took longer to measure, it showed better consistency compared to the conventional FibroScan.

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY (2023)

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Article Gastroenterology & Hepatology

Utility of Ultrasound-Guided Attenuation Parameter for Grading Steatosis With Reference to MRI-PDFF in a Large Cohort

Kento Imajo et al.

Summary: This study analyzed the diagnostic accuracy of ultrasound-guided attenuation parameter (UGAP) in grading steatosis with reference to magnetic resonance imaging-based proton density fat fraction (MRI-PDFF). The results showed that UGAP has excellent diagnostic accuracy, good linearity, and can be widely used in clinical trials and patient care.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2022)

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Article Gastroenterology & Hepatology

Complexity of ballooned hepatocyte feature recognition: Defining a training atlas for artificial intelligence-based imaging in NAFLD

Elizabeth M. Brunt et al.

Summary: The study reveals poor agreement among expert hepatopathologists regarding the number of ballooned hepatocytes seen on the same digitized histology images. This has implications for the diagnosis of nonalcoholic steatohepatitis (NASH) and the requirements for demonstrating 'NASH resolution' in support of drug efficacy in clinical trials. Artificial intelligence-based approaches may offer a more reliable way to assess hepatocyte ballooning.

JOURNAL OF HEPATOLOGY (2022)

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Article Medicine, General & Internal

Quantification of Liver Fat Content with the iATT Algorithm: Correlation with Controlled Attenuation Parameter

Giovanna Ferraioli et al.

Summary: The study assessed the correlation between iATT and CAP, finding a strong correlation between the two. Additionally, it was found that iATT measurements remained reliable even when the liver stiffness measurement protocol was not followed. These findings have important implications for clinical diagnosis and treatment.

DIAGNOSTICS (2022)

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Review Medicine, General & Internal

Accuracy of controlled attenuation parameter (CAP) and liver stiffness measurement (LSM) for assessing steatosis and fibrosis in non-alcoholic fatty liver disease: A systematic review and meta-analysis

Yu-Tian Cao et al.

Summary: This meta-analysis evaluated the performance of controlled attenuation parameter (CAP) and liver stiffness measurement (LSM) in assessing steatosis and fibrosis in non-alcoholic fatty liver disease (NAFLD). The results showed that CAP and LSM had good performance in diagnosing mild steatosis, advanced liver fibrosis, and cirrhosis, making them useful for screening NAFLD in high-risk populations. However, the accuracy of CAP in detecting steatosis is reduced in patients with obesity and requires specific diagnostic values. For LSM, the same diagnostic values can be used with appropriate probe selection based on body mass index (BMI) and an automated probe selection tool. Further validation and improvement of CAP and LSM performance are needed for assessing steatosis in patients with obesity, moderate to severe steatosis, and low-grade fibrosis.

ECLINICALMEDICINE (2022)

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Article Radiology, Nuclear Medicine & Medical Imaging

Detection of fatty liver using virtual non-contrast dual-energy CT

Pengcheng Peter Zhang et al.

Summary: The purpose of this study was to determine whether liver attenuation measured on dual-energy CT (DECT) virtual non-contrast examinations predicts the presence of fatty liver. The results showed that attenuation measured at VNC CT was moderately correlated with liver fat content and had high specificity for the diagnosis of fatty liver.

ABDOMINAL RADIOLOGY (2022)

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Article Gastroenterology & Hepatology

Accuracy of Two-Dimensional Shear Wave Elastography and Attenuation Imaging for Evaluation of Patients With Nonalcoholic Steatohepatitis

Dong Ho Lee et al.

Summary: In this study, a multiparametric approach using attenuation imaging and 2D-SWE was evaluated for the detection of steatosis and fibrosis in NAFLD patients. The attenuation coefficient was associated with steatosis grade, liver stiffness with fibrosis stage, and SWDS with lobular inflammation. A risk scoring system based on these parameters showed high accuracy in identifying patients with steatohepatitis.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2021)

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Article Gastroenterology & Hepatology

Mortality in biopsy-confirmed nonalcoholic fatty liver disease: results from a nationwide cohort

Tracey G. Simon et al.

Summary: Population-based data in Sweden showed that all histological stages of NAFLD were linked with significantly increased overall mortality, and the risk escalated progressively with worsening histology. Excess mortality was mainly attributed to extrahepatic cancer and cirrhosis, while cardiovascular disease and HCC made modest contributions.

GUT (2021)

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Review Gastroenterology & Hepatology

Recent advances in nonalcoholic fatty liver disease metabolomics

Hwi Young Kim

Summary: The clinical spectrum of NAFLD ranges from simple steatosis to NASH, with liver biopsy being the standard for diagnosis. Metabolomics has emerged as a promising diagnostic method to uncover metabolic alterations relevant to NASH progression, with recent research efforts focusing on lipidomics, amino acids, and bile acid metabolomics to discover potential biomarkers.

CLINICAL AND MOLECULAR HEPATOLOGY (2021)

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Article Gastroenterology & Hepatology

KASL clinical practice guidelines: Management of nonalcoholic fatty liver disease

Seong Hee Kang et al.

CLINICAL AND MOLECULAR HEPATOLOGY (2021)

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Article Acoustics

Performance of the Attenuation Imaging Technology in the Detection of Liver Steatosis

Giovanna Ferraioli et al.

Summary: The study evaluated the performance and cutoff value of the ATI-Pen algorithm on an ultrasound system for detecting liver steatosis, showing excellent correlation with MRI-PDFF and high performance with AUROCs of 0.90 or higher.

JOURNAL OF ULTRASOUND IN MEDICINE (2021)

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Review Gastroenterology & Hepatology

Application of artificial intelligence in chronic liver diseases: a systematic review and meta-analysis

Pakanat Decharatanachart et al.

Summary: Artificial intelligence (AI) assisted noninvasive diagnostic tools show promising potential for the diagnosis of liver fibrosis and nonalcoholic fatty liver disease (NAFLD). Different modalities exhibited significant differences in performance for diagnosing fibrosis, while the diagnosis of liver steatosis showed good performance. Validations of the AI-assisted systems' performances are necessary before their clinical implementation.

BMC GASTROENTEROLOGY (2021)

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Article Radiology, Nuclear Medicine & Medical Imaging

Reliability of performing ultrasound derived SWE and fat fraction in adult livers

Jing Gao et al.

Summary: The study aimed to test the reproducibility of performing conventional point shear wave elastography (pSWE), auto-pSWE, and ultrasound derived fat fraction (UDFF) in adult livers. Results demonstrated good repeatability and reproducibility in measuring UDFF and SWV in adult livers. Auto-pSWE showed higher reliability, reproducibility, and time efficacy in measuring SWV compared to the conventional pSWE method.

CLINICAL IMAGING (2021)

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Article Gastroenterology & Hepatology

A Machine Learning Approach Enables Quantitative Measurement of Liver Histology and Disease Monitoring in NASH

Amaro Taylor-Weiner et al.

Summary: The study demonstrates that using machine learning can accurately assess liver histopathology in NASH patients and sensitively quantify treatment response. Deep learning methods not only show strong correlations with expert pathologists' evaluations, but also have good predictive value for disease progression in NASH.

HEPATOLOGY (2021)

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Article Gastroenterology & Hepatology

The epidemiology of NAFLD and lean NAFLD in Japan: a meta-analysis with individual and forecasting analysis, 1995-2040

Takanori Ito et al.

Summary: The prevalence of NAFLD in Japan is around 25.5%, with a higher incidence in males and a predicted increase to affect half of the population by 2040. Lean NAFLD individuals make up around 20% of the NAFLD population, with older age and higher mortality rates.

HEPATOLOGY INTERNATIONAL (2021)

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Article Medicine, General & Internal

Attenuation Imaging with Ultrasound as a Novel Evaluation Method for Liver Steatosis

Po-Ke Hsu et al.

Summary: Ultrasound attenuation imaging (ATI) has shown high consistency and accuracy in identifying liver steatosis, making it a potential diagnostic method for assessing liver fat infiltration in non-invasive clinical practice.

JOURNAL OF CLINICAL MEDICINE (2021)

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Review Gastroenterology & Hepatology

From nonalcoholic fatty liver disease to metabolic-associated fatty liver disease: Big wave or ripple?

Seong Hee Kang et al.

Summary: The transition from NAFLD to MAFLD involves including FLD subjects with metabolic abnormalities in the criteria while excluding those without, leading to a focus on metabolic dysfunction in the MAFLD criteria. This may underestimate the prognostic value of hepatic steatosis, but could better identify subjects at higher risk of liver or cardiovascular outcomes.

CLINICAL AND MOLECULAR HEPATOLOGY (2021)

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Article Gastroenterology & Hepatology

Randomised clinical trial: Pemafibrate, a novel selective peroxisome proliferator-activated receptor alpha modulator (SPPARM alpha), versus placebo in patients with non-alcoholic fatty liver disease

Atsushi Nakajima et al.

Summary: In patients with high-risk non-alcoholic fatty liver disease, Pemafibrate did not reduce liver fat content but significantly decreased liver stiffness based on magnetic resonance elastography. There was also a significant reduction in ALT and LDL-C levels during the treatment period.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2021)

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Article Radiology, Nuclear Medicine & Medical Imaging

Usefulness of US attenuation imaging for the detection and severity grading of hepatic steatosis in routine abdominal ultrasonography

Eun Young Kwon et al.

Summary: Ultrasound attenuation imaging (ATI) showed high diagnostic performance and provided discriminative values for severity grading of fatty liver disease.

CLINICAL IMAGING (2021)

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Article Gastroenterology & Hepatology

Evidence-based clinical practice guidelines for nonalcoholic fatty liver disease/nonalcoholic steatohepatitis 2020

Katsutoshi Tokushige et al.

Summary: NAFLD and NASH have become significant public health issues in both Western countries and Japan, with hepatic fibrosis being a key prognostic factor. Effective screening methods for NAFLD and urgent surveillance for HCC are necessary in Japan, where non-viral liver disease-related HCC cases are on the rise. Cardiovascular disease is the leading cause of death in NAFLD patients, emphasizing the importance of CVD monitoring in clinical practice. Several drug trials are ongoing for NAFLD/NASH therapy, with new treatments like SGLT2 inhibitors and GLP-1 analogues showing promise for future interventions.

HEPATOLOGY RESEARCH (2021)

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Review Gastroenterology & Hepatology

Evidence-based clinical practice guidelines for nonalcoholic fatty liver disease/nonalcoholic steatohepatitis 2020

Katsutoshi Tokushige et al.

Summary: Nonalcoholic fatty liver disease (NAFLD) is a serious public health issue in Japan, with nonalcoholic steatohepatitis (NASH) being a progressive form that can lead to liver cirrhosis and increase the risk of hepatocellular carcinoma. The most common cause of death in NAFLD patients is cardiovascular disease.

JOURNAL OF GASTROENTEROLOGY (2021)

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Review Radiology, Nuclear Medicine & Medical Imaging

Pathological findings of liver steatosis that is difficult to evaluate with ultrasound

Reiichiro Kondo et al.

Summary: Although new quantitative ultrasound methods have been developed for assessing liver fat content, B-mode ultrasound remains the primary method for detecting liver steatosis during medical checkups. However, some pathological cases can lead to false-positive or false-negative results. The degree of fat deposits and the size of fat droplets in the liver can impact the accuracy of diagnosis using B-mode ultrasound. Operators should be aware of cases where liver steatosis is difficult to evaluate with B-mode ultrasound.

JOURNAL OF MEDICAL ULTRASONICS (2021)

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Article Acoustics

IMPROVED ULTRASOUND ATTENUATION MEASUREMENT METHOD FOR THE NON-INVASIVE EVALUATION OF HEPATIC STEATOSIS USING FIBROSCAN

Stephane Audiere et al.

Summary: The study evaluated a new CAP method for assessing liver steatosis, showing improved precision ex vivo and in vivo. The new method utilizes continuous ultrasound data during imaging phase, leading to better agreement and correlation with MRI-PDFF. The diagnostic performance of the new method was found to be equal or superior to the standard method.

ULTRASOUND IN MEDICINE AND BIOLOGY (2021)

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Article Gastroenterology & Hepatology

qFIBS: An Automated Technique for Quantitative Evaluation of Fibrosis, Inflammation, Ballooning, and Steatosis in Patients With Nonalcoholic Steatohepatitis

Feng Liu et al.

HEPATOLOGY (2020)

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Article Radiology, Nuclear Medicine & Medical Imaging

Quantification of hepatic steatosis with ultrasound: promising role of attenuation imaging coefficient in a biopsy-proven cohort

Marco Dioguardi Burgio et al.

EUROPEAN RADIOLOGY (2020)

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Article Gastroenterology & Hepatology

A new definition for metabolic dysfunction-associated fatty liver disease: An international expert consensus statement

Mohammed Eslam et al.

JOURNAL OF HEPATOLOGY (2020)

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Article Endocrinology & Metabolism

Hepatic steatosis is associated with abnormal hepatic enzymes, visceral adiposity, altered myocardial glucose uptake measured by 18F-FDG PET/CT

Lijun Hu et al.

BMC ENDOCRINE DISORDERS (2020)

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Review Gastroenterology & Hepatology

Evidence-based clinical advice for nutrition and dietary weight loss strategies for the management of NAFLD and NASH

Theresa J. Hydes et al.

CLINICAL AND MOLECULAR HEPATOLOGY (2020)

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Review Gastroenterology & Hepatology

Beneficial effect of anti-diabetic drugs for nonalcoholic fatty liver disease

Kyung-Soo Kim et al.

CLINICAL AND MOLECULAR HEPATOLOGY (2020)

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Article Acoustics

Novel Method forUltrasound-DerivedFat Fraction Using an Integrated Phantom

Yassin Labyed et al.

JOURNAL OF ULTRASOUND IN MEDICINE (2020)

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Article Radiology, Nuclear Medicine & Medical Imaging

The Role of Multiparametric US of the Liver or the Evaluation of Nonalcoholic Steatohepatitis

Katsutoshi Sugimoto et al.

RADIOLOGY (2020)

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Article Gastroenterology & Hepatology

Attenuation imaging based on ultrasound technology for assessment of hepatic steatosis: A comparison with magnetic resonance imaging-determined proton density fat fraction

Toshifumi Tada et al.

HEPATOLOGY RESEARCH (2020)

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Article Gastroenterology & Hepatology

Trends in the prevalence of chronic liver disease in the Korean adult population, 1998-2017

Seung Ha Park et al.

CLINICAL AND MOLECULAR HEPATOLOGY (2020)

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Reproducibility of ultrasound attenuation imaging for the noninvasive evaluation of hepatic steatosis

Jeongin Yoo et al.

ULTRASONOGRAPHY (2020)

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Assessment of 10-year changes in liver stiffness using vibration-controlled transient elastography in non-alcoholic fatty liver disease

Asako Nogami et al.

HEPATOLOGY RESEARCH (2019)

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Article Radiology, Nuclear Medicine & Medical Imaging

Assessment of hepatic steatosis by using attenuation imaging: a quantitative, easy-to-perform ultrasound technique

Jae Seok Bae et al.

EUROPEAN RADIOLOGY (2019)

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PROSPECTIVE EVALUATION OF HEPATIC STEATOSIS USING ULTRASOUND ATTENUATION IMAGING IN PATIENTS WITH CHRONIC LIVER DISEASE WITH MAGNETIC RESONANCE IMAGING PROTON DENSITY FAT FRACTION AS THE REFERENCE STANDARD

Sun Kyung Jeon et al.

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USEFULNESS OF ATTENUATION IMAGING WITH AN ULTRASOUND SCANNER FOR THE EVALUATION OF HEPATIC STEATOSIS

Toshifumi Tada et al.

ULTRASOUND IN MEDICINE AND BIOLOGY (2019)

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The diagnosis and management of nonalcoholic fatty liver disease: Practice guidance from the American Association for the Study of Liver Diseases

Naga Chalasani et al.

HEPATOLOGY (2018)

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Noninvasive, Quantitative Assessment of Liver Fat by MRI-PDFF as an Endpoint in NASH Trials

Cyrielle Caussy et al.

HEPATOLOGY (2018)

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Article Acoustics

THE B-MODE IMAGE-GUIDED ULTRASOUND ATTENUATION PARAMETER ACCURATELY DETECTS HEPATIC STEATOSIS IN CHRONIC LIVER DISEASE

Yudai Fujiwara et al.

ULTRASOUND IN MEDICINE AND BIOLOGY (2018)

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Article Gastroenterology & Hepatology

Magnetic Resonance Elastography vs Transient Elastography in Detection of Fibrosis and Noninvasive Measurement of Steatosis in Patients With Biopsy-Proven Nonalcoholic Fatty Liver Disease

Charlie C. Park et al.

GASTROENTEROLOGY (2017)

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Review Gastroenterology & Hepatology

Increased Risk of Mortality by Fibrosis Stage in Nonalcoholic Fatty Liver Disease: Systematic Review and Meta-Analysis

Parambir S. Dulai et al.

HEPATOLOGY (2017)

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Article Gastroenterology & Hepatology

Fibrosis stage but not NASH predicts mortality and time to development of severe liver disease in biopsy-proven NAFLD

Hannes Hagstrom et al.

JOURNAL OF HEPATOLOGY (2017)

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Article Gastroenterology & Hepatology

Pathology of non-alcoholic fatty liver disease

Pierre Bedossa

LIVER INTERNATIONAL (2017)

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Global Epidemiology of Nonalcoholic Fatty Liver Disease-Meta-Analytic Assessment of Prevalence, Incidence, and Outcomes

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HEPATOLOGY (2016)

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Article Gastroenterology & Hepatology

Controlled attenuation parameter for the diagnosis of steatosis in non-alcoholic fatty liver disease

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JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY (2016)

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Article Gastroenterology & Hepatology

EASL-EASD-EASO Clinical Practice Guidelines for the management of non-alcoholic fatty liver disease

Giulio Marchesini et al.

JOURNAL OF HEPATOLOGY (2016)

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Article Acoustics

LIVER STEATOSIS ASSESSED BY CONTROLLED ATTENUATION PARAMETER (CAP) MEASURED WITH THE XL PROBE OF THE FIBROSCAN: A PILOT STUDY ASSESSING DIAGNOSTIC ACCURACY

Magali Sasso et al.

ULTRASOUND IN MEDICINE AND BIOLOGY (2016)

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Article Gastroenterology & Hepatology

Fibrosis Progression in Nonalcoholic Fatty Liver vs Nonalcoholic Steatohepatitis: A Systematic Review and Meta-analysis of Paired-Biopsy Studies

Siddharth Singh et al.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2015)

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Editorial Material Gastroenterology & Hepatology

The Hierarchical Model of NAFLD: Prognostic Significance of Histologic Features in NASH

Rohit Loomba et al.

GASTROENTEROLOGY (2015)

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Article Gastroenterology & Hepatology

Liver Fibrosis, but No Other Histologic Features, Is Associated With Long-term Outcomes of Patients With Nonalcoholic Fatty Liver Disease

Paul Angulo et al.

GASTROENTEROLOGY (2015)

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Article Gastroenterology & Hepatology

Impact of sequential proton density fat fraction for quantification of hepatic steatosis in nonalcoholic fatty liver disease

Ilkay S. Idilman et al.

SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY (2014)

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Article Gastroenterology & Hepatology

Utility of Magnetic Resonance Imaging Versus Histology for Quantifying Changes in Liver Fat in Nonalcoholic Fatty Liver Disease Trials

Mazen Noureddin et al.

HEPATOLOGY (2013)

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Article Gastroenterology & Hepatology

Transient elastography for monitoring the fibrosis of non-alcoholic fatty liver disease for 4 years

Kaori Suzuki et al.

HEPATOLOGY RESEARCH (2013)

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Article Gastroenterology & Hepatology

MRI: the new reference standard in quantifying hepatic steatosis?

Dimitri Aristotle Raptis et al.

GUT (2012)

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Article Radiology, Nuclear Medicine & Medical Imaging

The diagnostic accuracy of US, CT, MRI and H-1-MRS for the evaluation of hepatic steatosis compared with liver biopsy: a meta-analysis

Anneloes E. Bohte et al.

EUROPEAN RADIOLOGY (2011)

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Diagnostic Accuracy and Reliability of Ultrasonography for the Detection of Fatty Liver: A Meta-Analysis

Ruben Hernaez et al.

HEPATOLOGY (2011)

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Review Gastroenterology & Hepatology

Nonalcoholic Fatty Liver Disease: A Review and Update

Jeffrey R. Lewis et al.

DIGESTIVE DISEASES AND SCIENCES (2010)

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In vivo 3T spectroscopic quantification of liver fat content in nonalcoholic fatty liver disease: Correlation with biochemical method and morphometry

Ernesto Roldan-Valadez et al.

JOURNAL OF HEPATOLOGY (2010)

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Article Gastroenterology & Hepatology

Feasibility of liver transient elastography with FibroScan® using a new probe for obese patients

Victor de Ledinghen et al.

LIVER INTERNATIONAL (2010)

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Article Acoustics

CONTROLLED ATTENUATION PARAMETER (CAP): A NOVEL VCTE™ GUIDED ULTRASONIC ATTENUATION MEASUREMENT FOR THE EVALUATION OF HEPATIC STEATOSIS: PRELIMINARY STUDY AND VALIDATION IN A COHORT OF PATIENTS WITH CHRONIC LIVER DISEASE FROM VARIOUS CAUSES

Magali Sasso et al.

ULTRASOUND IN MEDICINE AND BIOLOGY (2010)

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Article Gastroenterology & Hepatology

Liver fat content determined by magnetic resonance imaging and spectroscopy

Fabian Springer et al.

WORLD JOURNAL OF GASTROENTEROLOGY (2010)

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Long-Term Follow-Up of Patients With Nonalcoholic Fatty Liver

Nila Rafiq et al.

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Article Radiology, Nuclear Medicine & Medical Imaging

Evaluation of diffuse liver steatosis by ultrasound, computed tomography, and magnetic resonance imaging: which modality is best?

Aliya Qayyum et al.

CLINICAL IMAGING (2009)

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Review Gastroenterology & Hepatology

Liver Biopsy

Don C. Rockey et al.

HEPATOLOGY (2009)

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Article Medicine, General & Internal

Imaging of Nonalcoholic Steatohepatitis: Advantages and Pitfalls of Ultrasonography and Computed Tomography

Maki Tobari et al.

INTERNAL MEDICINE (2009)

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Article Gastroenterology & Hepatology

Nonalcoholic fatty liver disease: Quantitative assessment of liver fat content by computed tomography, magnetic resonance imaging and proton magnetic resonance spectroscopy

Liang Zhong et al.

JOURNAL OF DIGESTIVE DISEASES (2009)

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Article Gastroenterology & Hepatology

Validity of real time ultrasound in the diagnosis of hepatic steatosis: A prospective study

Srinivasan Dasarathy et al.

JOURNAL OF HEPATOLOGY (2009)

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Article Radiology, Nuclear Medicine & Medical Imaging

Quantification of Liver Fat Content: Comparison of Triple-Echo Chemical Shift Gradient-Echo Imaging and in Vivo Proton MR Spectroscopy

Boris Guiu et al.

RADIOLOGY (2009)

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Review Gastroenterology & Hepatology

Diagnosis of Nonalcoholic Fatty Liver Disease: Invasive versus Noninvasive

Anna Wieckowska et al.

SEMINARS IN LIVER DISEASE (2008)

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Article Gastroenterology & Hepatology

Non-invasive means of measuring hepatic fat content

Sanjeev R. Mehta et al.

WORLD JOURNAL OF GASTROENTEROLOGY (2008)

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Article Gastroenterology & Hepatology

The severity of ultrasonographic findings in nonalcoholic fatty liver disease reflects the metabolic syndrome and visceral fat accumulation

Masahide Hamaguchi et al.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2007)

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Article Radiology, Nuclear Medicine & Medical Imaging

Unenhanced CT for assessment of macrovesicular hepatic steatosis in living liver donors: Comparison of visual grading with liver attenuation index

Sang Won Lee et al.

RADIOLOGY (2007)

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Article Gastroenterology & Hepatology

Design and validation of a histological scoring system for nonalcoholic fatty liver disease

DE Kleiner et al.

HEPATOLOGY (2005)

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Transient elastography: A new noninvasive method for assessment of hepatic fibrosis

L Sandrin et al.

ULTRASOUND IN MEDICINE AND BIOLOGY (2003)

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The utility of radiological imaging in nonalcoholic fatty liver disease

S Saadeh et al.

GASTROENTEROLOGY (2002)

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