Can a scan replace the needle? ultrasound and MRI put to the test against liver biopsy for fatty liver disease

NCT ID NCT04785937

First seen Jul 24, 2026 · Last updated Jul 24, 2026

Summary

This study investigates whether non-invasive imaging techniques—ultrasound and MRI—can accurately diagnose non-alcoholic steatohepatitis (NASH) and liver fibrosis in people with fatty liver disease. Currently, a liver biopsy is the gold standard, but it is invasive and carries risks. The trial enrolls patients who already need a biopsy and compares imaging results to the biopsy findings, aiming for at least 90% accuracy. If successful, these imaging methods could offer a safer, more practical way to identify patients who might benefit from future NASH treatments.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
ultrasound and magnetic resonance imaging
What this could lead to
If these imaging methods prove accurate enough, they could replace invasive liver biopsies for diagnosing NASH and fibrosis, making diagnosis safer and more accessible.
What could go wrong
This is a small, early-stage diagnostic study with only 28 participants. The imaging tests may not reach the 90% accuracy target, and results may not apply to all NAFLD patients.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Azienda USL-IRCCS di Reggio Emilia

    Reggio Emilia, RE, 42123, Italy

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Other studies related to the condition(s) this trial covers.