In patients with NAFLD, liver fibrosis is among the most important predictors of progression to end-stage liver disease and outcome. Although several tools exist including the NAFLD Fibrosis Score (NFS) and the AST to Platelet Ratio Index, FIB-4 is the most well Recommendation 7: Adults with NAFLD should undergo risk stratification to deter-mine the extent of their liver fibrosis (figures 1 and 2). Free online tool for medical professionals. The risk of advanced liver fibrosis should be assessed using a non-invasive scoring system, such as the NAFLD Fibrosis Score (NFS), Fibrosis (FIB)-4 score or the Enhanced Liver Fibrosis (ELF) test. 3 days ago · Simple blood test panels are commonly used to calculate risk scores, such as the Fibrosis-4 (FIB-4) index and the NAFLD Fibrosis Score (NFS). Mar 1, 2019 · Staging of liver fibrosis is increasingly done using noninvasive methods, in some cases obviating the need for liver biopsy. Jun 16, 2025 · How does my doctor determine if I have NAFLD or NASH? Because most people with NAFLD have no symptoms and screening for it is not recommended at this time, fatty liver disease is often discovered during a routine blood test or screening for another medical condition. Find out how to treat and prevent this potentially dangerous liver disease. Normal: This means your liver has no scarring, or mild scarring. Objective Liver biopsy is the most accurate method for determining stage and grade of injury in non-alcoholic fatty liver disease (NAFLD).

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