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Publication Name World Journal of Hepatology
Manuscript ID 113475
Country India
Received
2025-08-27 23:19
Peer-Review Started
2025-08-27 23:20
First Decision by Editorial Office Director
2025-09-03 06:46
Return for Revision
2025-09-03 06:46
Revised
2025-09-16 16:25
Publication Fee Transferred
Second Decision by Editor
2025-12-04 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-04 06:30
Articles in Press
2025-12-04 06:30
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-01-13 06:42
Publish the Manuscript Online
2026-01-27 10:12
ISSN 1948-5182 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Observational Study
Article Title Blood markers vs transient elastography for liver stiffness and steatosis in metabolic dysfunction-associated steatotic liver disease
Manuscript Source Invited Manuscript
All Author List Amal Joseph, Sunil Mathew and Harikumar R Nair
ORCID
Author(s) ORCID Number
Amal Joseph http://orcid.org/0009-0004-8617-1229
Harikumar R Nair http://orcid.org/0000-0001-6075-9236
Funding Agency and Grant Number
Corresponding Author Harikumar R Nair, Consultant, FRCP, MRCP, Department of Gastroenterology and Hepatology, Ernakulam Medical Centre, National Highway Bypass, NH 66, Palarivattom, Kochi 682028, Kerala, India. harikumnair@yahoo.co.in
Key Words Metabolic dysfunction-associated steatotic liver disease; Non-alcoholic fatty liver disease; Transient elastography; Fibrosis-4 index; Aspartate transaminase to platelet ratio index; Neutrophil percentage to albumin ratio; Liver stiffness; Steatosis; Fibrosis
Core Tip This study demonstrates that blood-based markers are cost-effective adjuvants to FibroScan for metabolic dysfunction-associated steatotic liver disease (MASLD) assessment. Fibrosis 4 and aspartate transaminase to platelet ratio index demonstrated strong correlations with liver stiffness measurement (LSM), confirming their reliability for fibrosis evaluation. Notably, neutrophil percentage-to-albumin ratio emerged as a novel marker with a specificity (97.67%) for steatosis assessment, while platelet-to-lymphocyte ratio showed an inverse correlation with LSM. These findings support integrating simple blood markers with imaging techniques for enhanced diagnostic precision, particularly valuable in primary care settings where repeated FibroScan measurements are financially or logistically challenging, addressing critical gaps in MASLD management.
Publish Date 2026-01-27 10:12
Citation

Joseph A, Mathew S, Nair HR. Blood markers vs transient elastography for liver stiffness and steatosis in metabolic dysfunction-associated steatotic liver disease. World J Hepatol 2026; 18(1): 113475

URL https://www.wjgnet.com/1948-5182/full/v18/i1/113475.htm
DOI https://dx.doi.org/10.4254/wjh.v18.i1.113475
Full Article (PDF) WJH-18-113475-with-cover.pdf
STROBE Statement 113475-STROBE-statement.pdf
Manuscript File 113475_Auto_Edited_072255.docx
Answering Reviewers 113475-answering-reviewers.pdf
Audio Core Tip 113475-audio.wav
Biostatistics Review Certificate 113475-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 113475-conflict-of-interest-statement.pdf
Copyright License Agreement 113475-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 113475-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 113475-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 113475-non-native-speakers.pdf
Peer-review Report 113475-peer-reviews.pdf
Scientific Misconduct Check 113475-scientific-misconduct-check.png
Scientific Editor Work List 113475-scientific-editor-work-list.pdf
CrossCheck Report 113475-crosscheck-report.pdf