Nonalcoholic Fatty Liver Disease: Different Classifications Concordance and Relationship between Degrees of Morphological Features and Spectrum of the Disease
Joint Authors
Monteiro, Juliana Maya
Monteiro, Geysa Maya
Caroli-Bottino, Adriana
Pannain, Vera Lucia
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-02
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
The morphological features of nonalcoholic fatty liver disease (NAFLD) range from steatosis to nonalcoholic steatohepatitis (NASH) and cirrhosis.
Liver biopsy remains the main tool for NASH diagnosis and many histological systems to diagnose and grade NAFLD were proposed.
We evaluated the relationship among NAFLD activity score (NAS), histological diagnoses (non-NASH, possible NASH, and definite NASH), and histological algorithm proposed by Bedossa et al.; additionally the degrees of morphological features were semiquantified and correlated with non-NASH and NASH.
Seventy-one liver biopsies were studied.
The agreement among the three systems considering NASH and non-NASH was excellent (Κ=0.96).
Among the 22 biopsies with NAS 3-4, 72.7% showed to be NASH according to Bedossa’s algorithm.
The degree of steatosis, ballooning, lobular inflammation, and fibrosis stage were correlated with NASH (P<0.001).
Fibrosis stage 1 was also found in non-NASH.
Over the spectrum of NAFLD, no association was observed between intensity of steatosis and fibrosis grade.
The degrees of lobular inflammation showed association with fibrosis stage (P<0.0001).
In conclusion, there is agreement among different NAFLD classifications and NAS > 4 may be a better cutoff from which to consider NASH diagnosis; besides the highest degrees of steatosis, ballooning, inflammation, and fibrosis are associated with NASH.
American Psychological Association (APA)
Monteiro, Juliana Maya& Monteiro, Geysa Maya& Caroli-Bottino, Adriana& Pannain, Vera Lucia. 2014. Nonalcoholic Fatty Liver Disease: Different Classifications Concordance and Relationship between Degrees of Morphological Features and Spectrum of the Disease. Analytical Cellular Pathology،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1015300
Modern Language Association (MLA)
Monteiro, Juliana Maya…[et al.]. Nonalcoholic Fatty Liver Disease: Different Classifications Concordance and Relationship between Degrees of Morphological Features and Spectrum of the Disease. Analytical Cellular Pathology No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1015300
American Medical Association (AMA)
Monteiro, Juliana Maya& Monteiro, Geysa Maya& Caroli-Bottino, Adriana& Pannain, Vera Lucia. Nonalcoholic Fatty Liver Disease: Different Classifications Concordance and Relationship between Degrees of Morphological Features and Spectrum of the Disease. Analytical Cellular Pathology. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1015300
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1015300