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Open AccessJournal ArticleDOI

Nonalcoholic Fatty Liver Disease: MR Imaging of Liver Proton Density Fat Fraction to Assess Hepatic Steatosis

TLDR
MR imaging-PDFF showed promise for assessment of hepatic steatosis grade in patients with NAFLD, and was significantly correlated with histologic steatotic grade.
Abstract
MR imaging with proton density fat fraction (PDFF) permitted high overall accuracy with moderate sensitivity and high specificity for classification of dichotomized steatosis grade, and these results support the conduct of further studies to help validate MR imaging–PDFF as a biomarker of hepatic steatosis in nonalcoholic fatty liver disease.

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Citations
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Journal ArticleDOI

Brain-gut-liver interactions across the spectrum of insulin resistance in metabolic fatty liver disease.

TL;DR: In this paper, a review of the brain-gut-liver axis in the context of metabolic dysregulations associated with fatty liver, where insulin resistance has been assumed to play an important role, is presented.
Journal ArticleDOI

Alterations in the Liver Fat Fraction Features Examined by Magnetic Resonance Imaging Following Bariatric Surgery: a Self-Controlled Observational Study.

TL;DR: LFF decreased following bariatric surgery, which predicted C-NASH score changes after surgery, and for patients with a higher risk of NASH at baseline and lower preoperative body weight, the effects of surgery on score change value were noted.
Journal ArticleDOI

Development of new drugs for the treatment of nonalcoholic steatohepatitis.

TL;DR: An overview of NASH drug pipelines and the challenges faced in conducting phases II and III clinical trials is provided and how to establish guidelines for study design and end‐points in complex clinical trials of anti‐NASH drugs is discussed.
Journal ArticleDOI

Bone Marrow Fat Measured by a Chemical Shift‐Encoded Sequence (IDEAL‐IQ) in Patients With and Without Metabolic Syndrome

TL;DR: The relationship between metabolic syndrome and bone marrow fat is unclear as discussed by the authors, however, it is known that metabolic syndrome increases the risk of chronic diseases such as cardiovascular disease and diabetes and also has an impact on bone mineral density.
References
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Journal ArticleDOI

Nonalcoholic steatohepatitis: a proposal for grading and staging the histological lesions

TL;DR: There are no systems for grading necroinflammatory activity or for staging fibrosis as exist for various other forms of chronic liver disease and this study proposes a grading and staging system that reflects the unique histological features of nonalcoholic steatohepatitis.
Journal ArticleDOI

Sampling variability of liver fibrosis in chronic hepatitis C.

TL;DR: It is suggested that a length of at least 25 mm is necessary to evaluate fibrosis accurately with a semiquantitative score, because variability in the distribution of fibrosis within the liver is a major limitation when using more accurate methods such as automated image analysis.
Journal ArticleDOI

Sampling variability of liver biopsy in nonalcoholic fatty liver disease.

TL;DR: Histologic lesions of NASH are unevenly distributed throughout the liver parenchyma; therefore, sampling error of liver biopsy can result in substantial misdiagnosis and staging inaccuracies.
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