Results: In contrast to ALT, plasma CatD was significantly increased in NASH patients compared to subjects with either steatosis or a normal liver. Whereas ALT demonstrated to be a late marker for NASH grade (grade 2 and 3), CatD was elevated at early inflammation (grade 1). The sensitivity and specificity of ALT for detecting hepatic inflammation improved markedly through addition of CatD. Conclusions: The combination of CatD and ALT in plasma is a potential, specific

non-invasive marker to assess selleck screening library NASH and to monitor disease progression. Disclosures: Jan-Willem Greve – Consulting: GI Dynamics; Grant/Research Support: GI Dynamics The following people have nothing to disclose: Sofie Walenbergh, Sander Rensen, Veerle Bieghs, Tim Hendrikx, Patrick van Gorp, Mike Jeurissen, Wim Buurman, Anita Vreugdenhil, Jogchum Plat, Marten H. Hofker, Patrick Lindsey, Ger H. Koek, Ronit Shiri-Sverdlov BACKGROUND AND AIMS: The

aim of this study was to compare the results of Fibroscan® and CAP™ versus liver biopsy in patients with Non Alcoholic Fatty Liver Disease (NAFLD). METHODS: We enrolled patients ABT-263 with NAFLD diagnosed by liver biopsy between May of 2011 and January of 2013 at Sao Paulo University Hospital. They underwent liver stiffness measurements to assess fibrosis by Fibroscan® using median and extra large probes according to their skin-liver distance. CAP™ was also used to assess steatosis when Fibroscan® measures were made with the median probe. The Fibroscan® was operated by 2 experts in the procedure. The time frame between liver

biopsy and Fibroscan® plus CAP™ was of sixty days at most. We considered failure 上海皓元 of Fibroscan® and CAP™ when: we couldn’t have ten valid measures; the total success rate was below 60% and/or the interquartile range (IQR) was above 30%. The results of these noninvasive methods were compared with liver histology (BRUNT criteria), used as the reference standard. The corresponding values of Fibroscan®(kPa) to fibrosis stages and of CAP™ (dBm-1) to steatosis grades considered were based in previous studies of these methods in NAFLD patients. The gamma distribution function was used to compare the results of Fibroscan® and CAP™ versus liver biopsy. RESULTS: A total of 65 patients were enrolled, 71 % female and 29% male with mean age of 56 years old (1 3-71 years). Mean body mass index (BMI) and abdominal circumference were 31.29Kg/m2 (19.6-47.7Kg/m2) and 102.3cm (77-135cm), respectively. Mean distance between skin surface and liver was 2.06cm (0.98-4.26cm). Patient’s comorbidities were: 46% diabetes; 73% dyslipidemia; 60% systemic arterial hypertension. The Fibroscan® was feasible in 83 %(95%CI: 0.7193 -0.9039) of a total of 65 patients and CAP™ was feasible in 74% (95%CI: 0.603 – 0.848) of a total of 47 patients, respectively. The results of comparison between Fibroscan®, CAP™ and liver biopsy (noninvasive methods evaluated separately) using gamma distribution function were: Fibroscan® gamma= 0.38(95%CI 0.09-0.