Ways to overcome difficulties in diagnosing non-alcoholic fatty liver disease

A. L. Alyavi, G. N. Sobirova, A. O. Abdullaev, D. A. Shadmanova
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Abstract

The purpose of the study is to evaluate the status and capabilities of modern types of diagnostics of non-alcoholic fatty liver disease as part of a meta-analysis of scientific data. Materials and methods. The literature search was carried out in electronic databases Cochrane Library, PubMed.gov, Elsevier.com, Google Scholar. The analysis of the data obtained was focused on works published between 2010 and 2023 (the bias in the form of later studies was used in isolated cases when it came to fundamental scientometric data). Results. After reviewing 693 scientific papers for duplication and inconsistency, 38 sources were selected. Conclusions. The analysis of scientific data revealed that despite the understanding of the pathogenetic causes of non-alcoholic fatty liver disease and the complexity of this disease, liver biopsy still remains the gold standard for assessing liver health. In this regard, there is a need to introduce accessible non-imaging tools and accurate biomarkers, with the help of which it will be possible not only to make an adequate diagnosis, but also to analyze new treatments for NAFLD in clinical trials.
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克服诊断非酒精性脂肪肝困难的方法
本研究的目的是评估非酒精性脂肪肝现代诊断方法的现状和能力,作为科学数据荟萃分析的一部分。材料和方法在电子数据库 Cochrane Library、PubMed.gov、Elsevier.com 和 Google Scholar 中进行了文献检索。对所获数据的分析主要集中在 2010 年至 2023 年间发表的作品(在涉及基本科学计量数据时,在个别情况下使用了后期研究的偏差形式)。结果。在审查了 693 篇科学论文的重复性和不一致性之后,选出了 38 个来源。结论对科学数据的分析表明,尽管对非酒精性脂肪肝的致病原因有了一定的了解,而且这种疾病也很复杂,但肝活检仍是评估肝脏健康状况的金标准。在这方面,有必要引入可利用的非成像工具和准确的生物标志物,借助这些工具和标志物,不仅可以做出适当的诊断,还可以在临床试验中分析非酒精性脂肪肝的新疗法。
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