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Table 1.

Histological characteristics of human samples per diagnosed category.

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Table 2.

Metabolic and histological characteristics of the used NAFLD mouse models.

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Figure 1.

Histological photomicrographs of human NASH and NASH in mice.

Liver histological cross-sections from a healthy control subject (A) and a NASH patient (B). Liver histological cross-sections from a healthy control (C) and a NASH E3L.CETP mouse (D). All photomicrographs: Hematoxylin and eosin; magnification 200x.

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Table 3.

Histological features of NAFLD in humans and presence or absence in mice.

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Figure 2.

Hepatocellular steatosis, hypertrophy and inflammation.

Liver cross-sections are from a NASH patient (A) or a E3L.CETP mouse fed a high fat diet supplemented with cholesterol to induce NASH (B). Macrovesicular steatosis (dotted line arrow): large lipid droplets are present in hepatocytes; microvesicular steatosis (bold arrow): small lipid droplets are present in hepatocytes. Hypertrophy (open arrow): the representative cell is much larger than the surrounding steatotic hepatocytes but has the same cytoplasmic characteristics. Clusters (aggregates) of inflammatory cells (within circles). All photomicrographs: Hematoxylin and eosin; magnification 200x.

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Table 4.

Grading system for rodent NAFLD.

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Figure 3.

Liver fibrosis.

Photomicrograph of cells with collagen staining (Sirius red). Liver histological cross-sections are from a healthy control subject (A) and a NASH patient (B) or a healthy control (C) and a LDLR−/−.Leiden mouse fed a high fat diet to induce NASH (D). All photomicrographs: Sirius red; magnification 100x.

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Figure 4.

Bland-Altman plot for correlation analysis between two observers for measurement of macrovesicular steatosis, microvesicular steatosis, hypertrophy and inflammation.

X-axis: average measurements of two observers. Y-axis: Difference between measurements of two observers. UL: Upper 95% limits of agreement. LL: Lower 95% limits of agreement.

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Table 5.

Inter-observer reproducibility of NASH histological features according to the mouse NAFLD/NASH scoring system.

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Figure 5.

Bland-Altman plot for correlation analysis between two observations of one observer for measurement of macrovesicular steatosis, microvesicular steatosis, hypertrophy and inflammation.

X-axis: average measurements of two observations. Y-axis: Difference between measurements of two observations. UL: Upper 95% limits of agreement. LL: Lower 95% limits of agreement.

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Figure 5 Expand

Table 6.

Intra-observer reproducibility of NASH histological features according to the mouse NAFLD/NASH scoring system.

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