Evidence map›Paper›PMID 39231650›Full record

ArticleJournal of atherosclerosis and thrombosis2025

FIB-4 Index and Liver Stiffness Measurement are Potential Predictors of Atherosclerosis in Metabolic Dysfunction-Associated Steatotic Liver Disease.

Yoshihito Kubotsu, Yoshiko Sakamoto, Motoko Tago, Atsuko Chihara, Misa Norita, Chika Inadomi, Kaori Inoue, Hiroki Takayanagi, Kenichi Tanaka, Hiroshi Isoda and 6 more

Abstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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

16 authors.

Yoshihito KubotsuDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University.
Yoshiko SakamotoDepartment of Cardiovascular Medicine, Saga University.
Motoko TagoDepartment of Cardiovascular Medicine, Saga University.
Atsuko ChiharaDepartment of Cardiovascular Medicine, Saga University.
Misa NoritaDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University.
Chika InadomiDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University.
Kaori InoueLiver Center, Saga University Hospital.
Hiroki TakayanagiDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University.
Kenichi TanakaDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University.
Hiroshi IsodaLiver Center, Saga University Hospital.
Takuya KuwashiroDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University.
Satoshi OedaLiver Center, Saga University Hospital.
Toshiyasu ShiratoriDepartment of Advanced Medicine for Biliary and Pancreatic Disease, Faculty of Medicine, Saga University.
Keizo AnzaiDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University.
Hirokazu TakahashiDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCardiovascular disease (CVD) is a common cause of death in patients with metabolic dysfunction-associated steatotic liver disease (MASLD). Therefore, CVD surveillance is important, but it is not well established. We evaluated the association between liver fibrosis, carotid artery atherosclerosis, and coronary artery stenosis in patients with MASLD.

methodsOverall, 153 patients with MASLD who underwent carotid artery ultrasound were enrolled. Maximum intima-media thickness including plaques (Max-IMT) was measured by ultrasound. To predict liver fibrosis, liver stiffness was measured by vibration-controlled transient elastography and the fibrosis 4 (FIB-4) index was calculated. Coronary computed tomography angiography was performed to detect coronary artery stenosis based on a Max-IMT of ≥ 1.1 mm.

resultsThe median Max-IMT was 1.3 mm, and 63 patients (41.2%) had a Max-IMT of ≥ 1.5 mm. FIB-4 index and liver stiffness was significantly correlated with Max-IMT, respectively (ρ=0.356, p<0.001, ρ=0.25, p=0.002). Liver stiffness was significantly associated with a Max-IMT of ≥1.5 mm, independent of age. Individuals with higher FIB-4 index had moderate or severe coronary artery stenosis more frequently. Individuals with higher LSM level also had moderate or severe coronary artery stenosis more frequently, especially severe stenosis.

conclusionsLiver fibrosis parameters were associated with carotid artery atherosclerosis and coronary artery stenosis. Evaluation of liver fibrosis may be useful to identify significant atherosclerosis and coronary artery stenosis in patients with MASLD.

Indexed as

AtherosclerosisFatty LiverLiverLiver CirrhosisAgedCarotid Intima-Media ThicknessElasticity Imaging TechniquesFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisRisk FactorsCardiovascular diseasesCoronary computed tomography angiographyCutoff valueFibroScan

Identifiers

PMID39231650
PMCPMC11802251

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Registered trials

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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.