Hepatic steatosis and fibrosis: Non-invasive assessment.

Chronic liver disease is a major cause of morbidity and mortality worldwide and usually develops over many years, as a result of chronic inflammation and scarring, resulting in end-stage liver disease and its complications. The progression of disease is characterised by ongoing inflammation and cons...

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Main Authors: Karanjia, RN, Crossey, MME, Cox, IJ, Fye, HKS, Njie, R, Goldin, RD, Taylor-Robinson, SD
Format: Journal article
Language:English
Published: Baidisheng Publishing Group 2016
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author Karanjia, RN
Crossey, MME
Cox, IJ
Fye, HKS
Njie, R
Goldin, RD
Taylor-Robinson, SD
author_facet Karanjia, RN
Crossey, MME
Cox, IJ
Fye, HKS
Njie, R
Goldin, RD
Taylor-Robinson, SD
author_sort Karanjia, RN
collection OXFORD
description Chronic liver disease is a major cause of morbidity and mortality worldwide and usually develops over many years, as a result of chronic inflammation and scarring, resulting in end-stage liver disease and its complications. The progression of disease is characterised by ongoing inflammation and consequent fibrosis, although hepatic steatosis is increasingly being recognised as an important pathological feature of disease, rather than being simply an innocent bystander. However, the current gold standard method of quantifying and staging liver disease, histological analysis by liver biopsy, has several limitations and can have associated morbidity and even mortality. Therefore, there is a clear need for safe and non-invasive assessment modalities to determine hepatic steatosis, inflammation and fibrosis. This review covers key mechanisms and the importance of fibrosis and steatosis in the progression of liver disease. We address non-invasive imaging and blood biomarker assessments that can be used as an alternative to information gained on liver biopsy.
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spelling oxford-uuid:1be2ac05-4663-49b7-b4dd-5462e5f5c8202022-03-26T11:02:52ZHepatic steatosis and fibrosis: Non-invasive assessment.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1be2ac05-4663-49b7-b4dd-5462e5f5c820EnglishSymplectic Elements at OxfordBaidisheng Publishing Group2016Karanjia, RNCrossey, MMECox, IJFye, HKSNjie, RGoldin, RDTaylor-Robinson, SDChronic liver disease is a major cause of morbidity and mortality worldwide and usually develops over many years, as a result of chronic inflammation and scarring, resulting in end-stage liver disease and its complications. The progression of disease is characterised by ongoing inflammation and consequent fibrosis, although hepatic steatosis is increasingly being recognised as an important pathological feature of disease, rather than being simply an innocent bystander. However, the current gold standard method of quantifying and staging liver disease, histological analysis by liver biopsy, has several limitations and can have associated morbidity and even mortality. Therefore, there is a clear need for safe and non-invasive assessment modalities to determine hepatic steatosis, inflammation and fibrosis. This review covers key mechanisms and the importance of fibrosis and steatosis in the progression of liver disease. We address non-invasive imaging and blood biomarker assessments that can be used as an alternative to information gained on liver biopsy.
spellingShingle Karanjia, RN
Crossey, MME
Cox, IJ
Fye, HKS
Njie, R
Goldin, RD
Taylor-Robinson, SD
Hepatic steatosis and fibrosis: Non-invasive assessment.
title Hepatic steatosis and fibrosis: Non-invasive assessment.
title_full Hepatic steatosis and fibrosis: Non-invasive assessment.
title_fullStr Hepatic steatosis and fibrosis: Non-invasive assessment.
title_full_unstemmed Hepatic steatosis and fibrosis: Non-invasive assessment.
title_short Hepatic steatosis and fibrosis: Non-invasive assessment.
title_sort hepatic steatosis and fibrosis non invasive assessment
work_keys_str_mv AT karanjiarn hepaticsteatosisandfibrosisnoninvasiveassessment
AT crosseymme hepaticsteatosisandfibrosisnoninvasiveassessment
AT coxij hepaticsteatosisandfibrosisnoninvasiveassessment
AT fyehks hepaticsteatosisandfibrosisnoninvasiveassessment
AT njier hepaticsteatosisandfibrosisnoninvasiveassessment
AT goldinrd hepaticsteatosisandfibrosisnoninvasiveassessment
AT taylorrobinsonsd hepaticsteatosisandfibrosisnoninvasiveassessment