Nonalcoholic steatohepatitis (NASH) and significant metabolic liver disease (MLD) are progressive forms of nonalcoholic fatty liver disease (NAFLD). MR elastography parameters have been shown to be useful for assessing NAFLD/NASH and liver inflammation. To assess the role of viscoelastic parameters in diagnosing NASH and significant MLD, MRE hepatic examinations were performed in mice with NAFLD. Our results showed that the diagnostic performance of MR elastography was higher in significant MLD than in NASH. This may be explained by inflammation and fibrosis occurring in indeterminate NASH cases included in MLD, and by poor performance of MR elastography to detect hepatocyte ballooning.
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