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Fig 1.

Flow diagram of the study population.

2D SWE, 2D shear wave elastography; UGAP, ultrasound-guided attenuation parameter; VCTE, vibration-controlled transient elastography; CAP, controlled attenuation parameter; LB, liver biopsy.

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Table 1.

Baseline characteristics of control participants and patients with NAFLD.

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Table 2.

Diagnostic accuracy of 2D SWE and VCTE for the diagnosis of fibrosis stage.

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Table 3.

Diagnostic accuracy of UGAP and CAP for the diagnosis of steatosis grade.

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Fig 2.

Patient distribution according to histopathologic evaluation, LSM, and AC.

Fibrosis stage (a), steatosis grade (b), inflammation grade (c), and ballooning grade (d). LSM, liver stiffness measurement; AC, attenuation coefficient.

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Fig 3.

NASH or progressive NASH patient distribution according to LSM and AC.

a, c: All patients with nonalcoholic fatty liver disease were divided into four groups, according to the cutoff values of LSM and AC for fibrosis stage ≥ F1 and steatosis grade ≥ S1 [NASH (a), progressive NASH (c)]. b, d: Percentage of NASH (b) or progressive NASH (d) patients in each group. Percentages of NASH patients in Groups A, B, C, and D were 0.0% (0/14), 36.5% (19/52), 67.97% (19/28), and 78.7% (85/108), respectively; there was a significant difference in the distribution among groups (P < 0.001) (b). Percentages of progressive NASH patients in Groups A, B, C, and D were 0.0% (0/14), 7.7% (4/52), 35.7% (10/28), and 50.0% (54/108), respectively; there was a significant difference in the distribution among groups (P < 0.001) (d). LSM, liver stiffness measurement; AC, attenuation coefficient.

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Table 4.

Predictive factors for progressive NASH, as assessed using univariate and multivariate regression models.

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Table 4 Expand