Lipids & metabolic liver disease

Closer Association of Liver Stiffness Than Liver Fat Content With Imaging‐Derived Neurovascular Coupling in a Metabolic Dysfunction‐Associated Steatotic Liver Disease Cohort

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

Within this cohort and the observed PDFF range, MRE-derived liver stiffness was more closely associated with imaging-derived NVC surrogate measures than liver fat content in MASLD.

Study context

Population
MASLD patients and age- and education-matched healthy controls; liver stiffness by MR elastography (MRE) and fat content by MRI-PDFF98 MASLD, 32 healthy controls (HCs)
Participants
130 patients
Exposure
MASLD_high vs MASLD_low vs HCs
  • HCsn = 32reference
Outcome
Association of liver stiffness vs liver fat content with resting-state CBF-ReHo surrogate measures of imaging-derived neurovascular coupling (NVC)
Methodological detailsage- and education-matched healthy controls, multi-modal MRI, exploratory mediation analysis
  • Age- and education-matched healthy controls
  • Multi-modal MRI
  • Exploratory mediation analysis

Main finding

As reported in the abstract

Imaging-derived NVC (CBF-ReHo coupling, CBF/ReHo ratios)
  • MASLD_high showed reduced global CBF-ReHo coupling and altered cerebral blood flow (CBF)/regional homogeneity (ReHo) ratios vs HCs and MASLD_low, mainly bilateral superior temporal pole/superior temporal gyrus (TPOsup)
  • Liver stiffness: P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeEstimate
Exploratory mediation: indirect association of hepatocellular injury markers with TPOsup CBF/ReHo ratios via MRE-derived liver stiffnessExploratory(95% CI 0.0795–0.2790)

Original publication

Closer Association of Liver Stiffness Than Liver Fat Content With Imaging‐Derived Neurovascular Coupling in a Metabolic Dysfunction‐Associated Steatotic Liver Disease Cohort. Diabetes Obes Metab. Published 22 July 2026. doi:10.1111/dom.71125

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