To identify individuals at high risk for rapid fibrosis progression, we retrospectively investigated longitudinal changes in liver stiffness measurements (LSM) and proton density fat fraction (PDFF) in 36 NAFLD patients. At the early fibrosis stages, the rate of change of LSM is slow and positively correlated with the rate of change in PDFF. At later fibrosis stages, the rate of change in LSM is higher and is negatively correlated with ΔPDFF. Compared with other risk factors, the baseline value of LSM and the rate of change in PDFF was most strongly correlated with subsequent change in LSM.
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