Noninvasive Evaluation of Nonalcoholic Fatty Liver Disease

Nonalcoholic fatty liver disease (NAFLD) is the most prevalent liver diseases and can progress to advanced fibrosis and end-stage liver disease. Thus, intensive research has been performed to develop noninvasive methods for the diagnosis of nonalcoholic steatohepatitis (NASH) and fibrosis. Currently...

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Main Author: Dae Ho Lee
Format: Article
Language:English
Published: Korean Endocrine Society 2020-06-01
Series:Endocrinology and Metabolism
Subjects:
Online Access:http://www.e-enm.org/upload/pdf/EnM-2020-35-2-243.pdf
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author Dae Ho Lee
author_facet Dae Ho Lee
author_sort Dae Ho Lee
collection DOAJ
description Nonalcoholic fatty liver disease (NAFLD) is the most prevalent liver diseases and can progress to advanced fibrosis and end-stage liver disease. Thus, intensive research has been performed to develop noninvasive methods for the diagnosis of nonalcoholic steatohepatitis (NASH) and fibrosis. Currently, no single noninvasive tool covers all of the stages of pathologies and conditions of NAFLD, and the cost and feasibility of known techniques are also important issues. Blood biomarkers for NAFLD may be useful to select subjects who need ultrasonography (US) screening for NAFLD, and noninvasive tools for assessing fibrosis may be helpful to exclude the probability of significant fibrosis and to predict advanced fibrosis, thus guiding the decision of whether to perform liver biopsy in patients with NAFLD. Among various methods, magnetic resonance-based methods have been shown to perform better than other methods in assessing steatosis as well as in detecting hepatic fibrosis. Many genetic markers are associated with the development and progression of NAFLD. Further well-designed studies are needed to determine which biomarker panels, imaging studies, genetic marker panels, or combinations thereof perform well for diagnosing NAFLD, differentiating NASH and fibrosis, and following-up NAFLD, respectively.
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spelling doaj.art-f7e7aacdc4c141fb8985cd484e1884302022-12-22T03:13:11ZengKorean Endocrine SocietyEndocrinology and Metabolism2093-596X2093-59782020-06-0135224325910.3803/EnM.2020.35.2.2432035Noninvasive Evaluation of Nonalcoholic Fatty Liver DiseaseDae Ho LeeNonalcoholic fatty liver disease (NAFLD) is the most prevalent liver diseases and can progress to advanced fibrosis and end-stage liver disease. Thus, intensive research has been performed to develop noninvasive methods for the diagnosis of nonalcoholic steatohepatitis (NASH) and fibrosis. Currently, no single noninvasive tool covers all of the stages of pathologies and conditions of NAFLD, and the cost and feasibility of known techniques are also important issues. Blood biomarkers for NAFLD may be useful to select subjects who need ultrasonography (US) screening for NAFLD, and noninvasive tools for assessing fibrosis may be helpful to exclude the probability of significant fibrosis and to predict advanced fibrosis, thus guiding the decision of whether to perform liver biopsy in patients with NAFLD. Among various methods, magnetic resonance-based methods have been shown to perform better than other methods in assessing steatosis as well as in detecting hepatic fibrosis. Many genetic markers are associated with the development and progression of NAFLD. Further well-designed studies are needed to determine which biomarker panels, imaging studies, genetic marker panels, or combinations thereof perform well for diagnosing NAFLD, differentiating NASH and fibrosis, and following-up NAFLD, respectively.http://www.e-enm.org/upload/pdf/EnM-2020-35-2-243.pdfevaluationnon-alcoholic fatty liver diseaseliver steatosisfibrosisbiomarkers
spellingShingle Dae Ho Lee
Noninvasive Evaluation of Nonalcoholic Fatty Liver Disease
Endocrinology and Metabolism
evaluation
non-alcoholic fatty liver disease
liver steatosis
fibrosis
biomarkers
title Noninvasive Evaluation of Nonalcoholic Fatty Liver Disease
title_full Noninvasive Evaluation of Nonalcoholic Fatty Liver Disease
title_fullStr Noninvasive Evaluation of Nonalcoholic Fatty Liver Disease
title_full_unstemmed Noninvasive Evaluation of Nonalcoholic Fatty Liver Disease
title_short Noninvasive Evaluation of Nonalcoholic Fatty Liver Disease
title_sort noninvasive evaluation of nonalcoholic fatty liver disease
topic evaluation
non-alcoholic fatty liver disease
liver steatosis
fibrosis
biomarkers
url http://www.e-enm.org/upload/pdf/EnM-2020-35-2-243.pdf
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