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Semin Liver Dis 2024; 44(02): 226-238
DOI: 10.1055/a-2334-8525
Review Article

This Is What Metabolic Dysfunction–Associated Steatotic Liver Disease Looks Like: Potential of a Multiparametric MRI Protocol

Anja M. Fischer
1   Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany
,
Nazim Lechea
1   Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany
,
Harvey O. Coxson
1   Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany
› Author Affiliations
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Abstract

Metabolic dysfunction–associated steatotic liver disease (MASLD) is a prevalent condition with a broad spectrum defined by liver biopsy. This gold standard method evaluates three features: steatosis, activity (ballooning and lobular inflammation), and fibrosis, attributing them to certain grades or stages using a semiquantitative scoring system. However, liver biopsy is subject to numerous restrictions, creating an unmet need for a reliable and reproducible method for MASLD assessment, grading, and staging. Noninvasive imaging modalities, such as magnetic resonance imaging (MRI), offer the potential to assess quantitative liver parameters. This review aims to provide an overview of the available MRI techniques for the three criteria evaluated individually by liver histology. Here, we discuss the possibility of combining multiple MRI parameters to replace liver biopsy with a holistic, multiparametric MRI protocol. In conclusion, the development and implementation of such an approach could significantly improve the diagnosis and management of MASLD, reducing the need for invasive procedures and paving the way for more personalized treatment strategies.

Keywords

metabolic dysfunction–associated steatotic liver disease - magnetic resonance imaging - noninvasive tests - liver stiffness - hepatocyte function


Publication History

Accepted Manuscript online:
28 May 2024

Article published online:
19 June 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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