In a cross-sectional study, we investigated the relationship between pathology-assessed hepatic steatosis, MRI-assessed PDFF, and LSM with MRE in a large NAFLD population. No significant differences in LSM was found between patients with S1, S2, and S3 steatosis, and between all steatosis grades after patients were grouped according to fibrosis stage. After adjusting with fibrosis stage and age, there was no statistically significant relationship between liver stiffness and PDFF in patients with diagnosed steatosis (i.e., PDFF≥5%). LSM by MRE is not biased by increased liver fat content.
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