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VCTE vs. histology in MASLD

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Vibration-controlled transient elastography (VCTE) for liver stiffness measurement (LSM) demonstrates comparable prognostic accuracy to liver biopsy for predicting liver-related events (LREs) in patients with metabolic dysfunction-associated steatotic liver disease (MASLD). A study involving 3,532 adults indicated that LSM is strongly associated with liver events, with a mean baseline LSM of 8.8 kPa among studied patients. After a median follow-up of 56.6 months, both methods yielded similar performance metrics, suggesting LSM may serve as a practical surrogate for histology in clinical settings.

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