PT  - JOURNAL ARTICLE
AU  - Khayyat, Yasir M.
TI  - Potential Drawbacks of Noninvasive Diagnostic Methods for Nonalcoholic Fatty Liver Disease
AID  - 10.3122/jabfm.2023.230005R2
DP  - 2024 Jul 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 753--772
VI  - 37
IP  - 4
4099  - http://www.jabfm.org/content/37/4/753.short
4100  - http://www.jabfm.org/content/37/4/753.full
SO  - J Am Board Fam Med2024 Jul 01; 37
AB  - The rising obesity epidemic is a phenomenon that has gained increasing attention from health providers and health policy makers. This led to recognition of nonalcoholic fatty liver disease (MASLD). The standard for its assessment has been histologic, which is neither practical nor acceptable by patients. Subsequently, a number of noninvasive assessment methods have been developed. However, despite ease of implementation, their confounding variables do hinder their accuracy. Nonetheless, the development of the liver stiffness measurement (LSM) and incorporation of other biological parameters has minimized but not eliminated the need for liver biopsy. Imaging methods are useful in evaluation, estimation, and following the progression of steatosis and fibrosis with particular attention to controlled attenuation parameter (CAP) and MRI–Proton Density Fat Fraction (MRI-PDFF). The choices for the family physician are broad and rely on tests’ availability, cost, and patient acceptance. Great efforts have been undertaken to produce more robust and novel noninvasive markers that indicate fibrinogenesis directly in an implementable and cost-effective way.