Evidence map›Paper›PMID 30660725›Full record

ReviewGastroenterology2019

Noninvasive Assessment of Liver Disease in Patients With Nonalcoholic Fatty Liver Disease.

Laurent Castera, Mireen Friedrich-Rust, Rohit Loomba

5 registry-linked trialsAbstract readReview
In one paragraph

Review in Gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 789 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
789citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04553796 unknown statusnot on this mapstarted 2021, after this paper: background citation

Assessment of Nonalcoholic Fatty Liver Disease in Diabetic and Prediabetic Patients Using Noninvasive Methods.

TypeobservationalSponsorAssiut UniversityRan2021 to 2022Enrolled150ConditionsNon Alcoholic Fatty LiverArmsfibroscan
NCT05301231 unknown statusnot on this mapstarted 2022, after this paper: background citation

Omics-based Predictors of NAFLD/Potential NASH: A New Era Towards Valid and Reliable Non-invasive Diagnosis and Personalized Therapy

Typeobservational_patient_registrySponsorNational Research Centre, EgyptRan2022 to 2024Enrolled450ConditionsNon-Alcoholic Fatty Liver Disease, Non Alcoholic SteatohepatitisArmsGenomics (DNA Extraction), Epi-genomics, Proteomics (Glycoproteomics), Salivary Metabolomics, Individualized counselling for behavioural modification
NCT06491342 nacompletednot on this mapstarted 2024, after this paper: background citation

Probiotic supplement versus placebo for decrease steatosis in metabolic dysfunction-associated steatotic liver disease (masld): a multicenter, randomized, double-blind, placebo-controlled trial

TypeinterventionalSponsorPhramongkutklao College of Medicine and HospitalRan2024 to 2025Enrolled90ConditionsFatty Liver, NonalcoholicArmsProbiotic, Placebo
NCT06523608 recruitingnot on this mapstarted 2024, after this paper: background citation

Prediction of Decompensation and HCC Development in Patients With Advanced Chronic Liver Disease by the PLEASE and M10S20 Algorithms

Typeobservational_patient_registrySponsorUniversity Hospital MuensterRan2024 to 2027Enrolled600ConditionsLiver Diseases, Hepatocellular Carcinoma, Hepatocarcinoma, Advanced Chronic Liver DiseaseArmsStandard survillance protocol, Stratified survillance protocol
NCT06888570 enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Childhood Obesity is a Global Health Issue, Especially in Children With Trisomy 21 (T21), Who Face Higher Risks of Non-alcoholic Fatty Liver Disease (NAFLD). Early Detection Using Non-invasive Tools Like Liver Elastography is Key. Evaluating Dietary Patterns With the 24-hour Food Recall and KIDMED Helps Guide Personalized Interventions

Typeobservational_patient_registrySponsorIMDEA FoodRan2025 to 2025Enrolled34ConditionsObesity Prevention, Pediatric Obesity, Trisomy 21, Down Syndrome (Trisomy 21)ArmsTo evaluate fat liver content in the cases/controls population.
3 · Its place in the literature

Who cites it

789 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  5. Glucagon-Like Peptide-1 Receptor Agonists Improve MASH and Liver Fibrosis: A Meta-Analysis of Randomised Controlled Trials.Liver international : official journal of the International Association for the Study of the Liver · 2025
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729 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Laurent CasteraDepartment of Hepatology, Hôpital Beaujon, Institut National de la Santé et de la Recherche Médicale Unité Mixte de Recherche 1149, University of Paris-VII, Clichy, France. Electronic address: laurent.castera@bjn.aphp.fr.
Mireen Friedrich-RustDepartment of Internal Medicine 1, Division of Gastroenterology, Hepatology, Goethe University Hospital, Frankfurt, Germany.
Rohit LoombaNonalcoholic Fatty Liver Disease Research Center, Division of Gastroenterology, Department of Medicine, University of California at San Diego, La Jolla, California.

Funding

Yeast Genetics and Stress Response Genes-BiomedicalP42ES010337 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TUKEY, ROBERT H · 2000 to 2022
$69.8M
QUS Technology for Diagnosis and Grading of Hepatic Steatosis in NAFLDR01DK106419 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LOOMBA, ROHIT, SIRLIN, CLAUDE B · 2015 to 2019
$3.4M
NIDDK NIH HHS R01 DK106419NIEHS NIH HHS P42 ES010337
6 · The paper itself

Abstract

Nonalcoholic fatty liver disease (NAFLD) is estimated to afflict approximately 1 billion individuals worldwide. In a subset of NAFLD patients, who have the progressive form of NAFLD termed nonalcoholic steatohepatitis (NASH), it can progress to advanced fibrosis, cirrhosis, hepatocellular carcinoma, and liver-related morbidity and mortality. NASH is typically characterized by a specific pattern on liver histology, including steatosis, lobular inflammation, and ballooning with or without peri-sinusoidal fibrosis. Thus, key issues in NAFLD patients are the differentiation of NASH from simple steatosis and identification of advanced hepatic fibrosis. Until now, liver biopsy has been the gold standard for identifying these 2 critical end points, but has well-known limitations, including invasiveness; rare but potentially life-threatening complications; poor acceptability; sampling variability; and cost. Furthermore, due to the epidemic proportion of individuals with NAFLD worldwide, liver biopsy evaluation is impractical, and noninvasive assessment for the diagnosis of NASH and fibrosis is needed. Although much of the work remains to be done in establishing cost-effective strategies for screening for NASH, advanced fibrosis, and cirrhosis, in this review, we summarize the current state of the noninvasive assessment of liver disease in NAFLD, and we provide an expert synthesis of how these noninvasive tools could be utilized in clinical practice. Finally, we also list the key areas of research priorities in this area to move forward clinical practice.

Indexed as

LiverLiver Function TestsBiomarkersBiopsyElasticity Imaging TechniquesHumansLiver CirrhosisMagnetic Resonance ImagingMagnetic Resonance SpectroscopyNon-alcoholic Fatty Liver DiseasePredictive Value of TestsPrognosisReproducibility of ResultsSeverity of Illness IndexUltrasonographyBiomarkersARFICAPFibrosisMREMRI-PDFFNAFLDNASHNoninvasiveSerum BiomarkersSteatosisSWEVCTE

Identifiers

PMID30660725
PMCPMC7505052

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.