Research advances in the diagnosis and treatment of MASLD/MASH

Dec 20, 2025Annals of medicine

New developments in diagnosing and treating fatty liver disease and its inflammatory form

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Abstract

Recent advancements in diagnosing and treating Metabolic Dysfunction-Associated Steatotic Liver Disease () and its progression to Metabolic Dysfunction-Associated Steatohepatitis () have emerged.

  • Non-invasive diagnostic tools like high-resolution CT, MRI, FIB-4 index, and FAST score improve early detection and accuracy.
  • Pharmaceutical treatments include THR-β agonists, FXR agonists, PPAR agonists, GLP-1 receptor agonists, and SGLT2 inhibitors, along with lifestyle changes.
  • Surgical options such as gastric bypass and liver transplantation are effective, especially for obese and advanced MASH patients.
  • There are ongoing challenges in standardizing treatment protocols and validating long-term efficacy.
  • Future research may focus on personalized treatment approaches and multidisciplinary collaboration to enhance patient care.

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