Evidence map›Paper›PMID 42429971›Full record

ArticleAbdominal radiology (New York)2026

Quantitative MR biomarkers in identifying steatohepatitis and fibrosis associated with metabolic dysfunction associated liver disease-a single center cross-sectional study.

Srinivas Meharwade, Sanchita Gupta, Ankur Goyal, Devasenathipathy Kandasamy, Shalimar, Shivanand Gamanagatti, Prasenjit Das, Amit Mehndiratta, Mani Kalaivani, Raju Sharma

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Article in Abdominal radiology (New York), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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10 authors.

Srinivas MeharwadeDepartment of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
Sanchita GuptaDepartment of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
Ankur GoyalDepartment of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
Devasenathipathy KandasamyDepartment of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
ShalimarDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.
Shivanand GamanagattiDepartment of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
Prasenjit DasDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Amit MehndirattaCenter for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi, India.
Mani KalaivaniDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Raju SharmaDepartment of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India. raju152@yahoo.com.

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6 · The paper itself

Abstract

backgroundLiver biopsy is the gold standard for diagnosing metabolic dysfunction associated steatohepatitis (MASH). There is an unmet need for non-invasive tests to differentiate uncomplicated hepatic steatosis from steatohepatitis and fibrotic MASH.

objectivesWe aimed to evaluate the role of T1 relaxation time, MRI-PDFF (Proton density fat fraction), and IVIM (Intravoxel Incoherent motion) in detecting and differentiating MASH from non-MASH group of patients and fibrotic MASH from low-risk/absent MASH group. MATERIAL &

methodsWe prospectively conducted a cross-sectional study of 64 patients with Metabolic dysfunction associated steatotic liver disease (MASLD) and reviewed MRI data from 46 patients who underwent liver biopsy. Dedicated sequences were performed using a 1.5 T MR scanner to derive liver MRI-PDFF, T1, and IVIM values (D-True diffusion coefficient, D*- pseudo diffusion coefficient, and f - perfusion fraction). The NASH CRN (Clinical Research Network) scoring system was used to categorize patients based on biopsy results. MR-derived data were compared with the biopsy results.

resultsMedian T1 values were significantly higher in patients with MASH than the non-MASH group (884.97 ms versus 698.59 ms; p = 0.0002, AUROC (95% CI) 0.828 (0.709-0.947)) and in fibrotic MASH versus low-risk/absent MASH group (870.48 ms versus 695.10 ms; p < 0.0001, AUROC (95% CI) 0.851 (0.742-0.961)). Median MRI-PDFF values were significantly higher in MASH patients compared to non-MASH patients (19.38% vs. 9.46%, p = 0.0004, AUROC (95% CI) 0.808 (0.657-0.937)) and in fibrotic MASH compared to low-risk/absent MASH (20.45% vs. 8.58%, p = 0.0001, AUROC (95% CI) 0.847 (0.730-0.963)). MASH patients showed significantly lower D* (p = 0.0167) and f (p = 0.0382) than the non-MASH group; fibrotic MASH patients had lower D (p = 0.042) and D* (p = 0.025) than the low-risk/absent MASH group. MRI T1 mapping and MRI-PDFF demonstrate good diagnostic accuracy for detecting biopsy-defined MASH and fibrotic MASH. Further large-scale, multicenter studies are required to establish their role in clinical practice and potentially help reduce reliance on liver biopsy.

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BiopsyFibrosisInflammationLiverMagnetic resonance imagingSteatosis

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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.