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자료유형
학술저널
저자정보
이대호 (가천대학교)
저널정보
대한내분비학회 Endocrinology and Metabolism Endocrinology and Metabolism Vol.35 No.2
발행연도
2020.1
수록면
243 - 259 (17page)

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Nonalcoholic fatty liver disease (NAFLD) is the most prevalent liver diseases and can progress to advanced fibrosis and end-stageliver 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 ofNAFLD, and the cost and feasibility of known techniques are also important issues. Blood biomarkers for NAFLD may be useful toselect subjects who need ultrasonography (US) screening for NAFLD, and noninvasive tools for assessing fibrosis may be helpful toexclude the probability of significant fibrosis and to predict advanced fibrosis, thus guiding the decision of whether to perform liverbiopsy in patients with NAFLD. Among various methods, magnetic resonance-based methods have been shown to perform betterthan 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, andfollowing-up NAFLD, respectively.

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