From NAFLD to Chronic Liver Diseases. Assessment of Liver Fibrosis through Non-Invasive Methods before Liver Transplantation: Can We Rely on Them?

Chronic liver injury and subsequent liver fibrosis are usually a slow process without any specific or no clinical signs, resulting in pathological conditions with a poor chance of improvement through medical and surgical treatment, which if not promptly recognized, often lead to a liver transplant a...

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Main Authors: Pasquale Auricchio, Michele Finotti
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Transplantology
Subjects:
Online Access:https://www.mdpi.com/2673-3943/4/2/8
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author Pasquale Auricchio
Michele Finotti
author_facet Pasquale Auricchio
Michele Finotti
author_sort Pasquale Auricchio
collection DOAJ
description Chronic liver injury and subsequent liver fibrosis are usually a slow process without any specific or no clinical signs, resulting in pathological conditions with a poor chance of improvement through medical and surgical treatment, which if not promptly recognized, often lead to a liver transplant as the only therapeutic option. On the other hand, screening and follow-up are hard to establish in large populations using regularly invasive methods such as biopsies and other expensive diagnostic tools due to cost and a lack of adequate specificity and sensibility. In the last few years, a large variety of serological and radiological tests have been proposed to assess liver fibrosis. In this review, we will consider the most commonly used scores to evaluate liver fibrosis, with a special focus on the NAFLD pathogenesis. We will try to answer the question: can we rely on them?
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spelling doaj.art-d53cacbb8b0c4827b3791fa5c9543c952023-11-18T12:55:58ZengMDPI AGTransplantology2673-39432023-05-0142718410.3390/transplantology4020008From NAFLD to Chronic Liver Diseases. Assessment of Liver Fibrosis through Non-Invasive Methods before Liver Transplantation: Can We Rely on Them?Pasquale Auricchio0Michele Finotti1DISCOG, University of Padua, 35182 Padua, ItalyAnnette C. and Harold C. Simmons Transplant Institute, Baylor University Medical Center, Dallas, TX 75204, USAChronic liver injury and subsequent liver fibrosis are usually a slow process without any specific or no clinical signs, resulting in pathological conditions with a poor chance of improvement through medical and surgical treatment, which if not promptly recognized, often lead to a liver transplant as the only therapeutic option. On the other hand, screening and follow-up are hard to establish in large populations using regularly invasive methods such as biopsies and other expensive diagnostic tools due to cost and a lack of adequate specificity and sensibility. In the last few years, a large variety of serological and radiological tests have been proposed to assess liver fibrosis. In this review, we will consider the most commonly used scores to evaluate liver fibrosis, with a special focus on the NAFLD pathogenesis. We will try to answer the question: can we rely on them?https://www.mdpi.com/2673-3943/4/2/8liver fibrosisNAFLDcirrhosisnon-invasive methodsliver transplantation
spellingShingle Pasquale Auricchio
Michele Finotti
From NAFLD to Chronic Liver Diseases. Assessment of Liver Fibrosis through Non-Invasive Methods before Liver Transplantation: Can We Rely on Them?
Transplantology
liver fibrosis
NAFLD
cirrhosis
non-invasive methods
liver transplantation
title From NAFLD to Chronic Liver Diseases. Assessment of Liver Fibrosis through Non-Invasive Methods before Liver Transplantation: Can We Rely on Them?
title_full From NAFLD to Chronic Liver Diseases. Assessment of Liver Fibrosis through Non-Invasive Methods before Liver Transplantation: Can We Rely on Them?
title_fullStr From NAFLD to Chronic Liver Diseases. Assessment of Liver Fibrosis through Non-Invasive Methods before Liver Transplantation: Can We Rely on Them?
title_full_unstemmed From NAFLD to Chronic Liver Diseases. Assessment of Liver Fibrosis through Non-Invasive Methods before Liver Transplantation: Can We Rely on Them?
title_short From NAFLD to Chronic Liver Diseases. Assessment of Liver Fibrosis through Non-Invasive Methods before Liver Transplantation: Can We Rely on Them?
title_sort from nafld to chronic liver diseases assessment of liver fibrosis through non invasive methods before liver transplantation can we rely on them
topic liver fibrosis
NAFLD
cirrhosis
non-invasive methods
liver transplantation
url https://www.mdpi.com/2673-3943/4/2/8
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