RT Journal Article T1 qFIBS: An Automated Technique for Quantitative Evaluation of Fibrosis, Inflammation, Ballooning, and Steatosis in Patients With Nonalcoholic Steatohepatitis. A1 Liu, Feng A1 Goh, George Boon-Bee A1 Tiniakos, Dina A1 Wee, Aileen A1 Leow, Wei-Qiang A1 Zhao, Jing-Min A1 Rao, Hui-Ying A1 Wang, Xiao-Xiao A1 Wang, Qin A1 Wan, Wei-Keat A1 Lim, Kiat-Hon A1 Romero-Gomez, Manuel A1 Petta, Salvatore A1 Bugianesi, Elisabetta A1 Tan, Chee-Kiat A1 Harrison, Stephen A A1 Anstee, Quentin M A1 Chang, Pik-Eu Jason A1 Wei, Lai AB Nonalcoholic steatohepatitis (NASH) is a common cause of chronic liver disease. Clinical trials use the NASH Clinical Research Network (CRN) system for semiquantitative histological assessment of disease severity. Interobserver variability may hamper histological assessment, and diagnostic consensus is not always achieved. We evaluate a second harmonic generation/two-photon excitation fluorescence (SHG/TPEF) imaging-based tool to provide an automated quantitative assessment of histological features pertinent to NASH. Images were acquired by SHG/TPEF from 219 nonalcoholic fatty liver disease (NAFLD)/NASH liver biopsy samples from seven centers in Asia and Europe. These were used to develop and validate qFIBS, a computational algorithm that quantifies key histological features of NASH. qFIBS was developed based on in silico analysis of selected signature parameters for four cardinal histopathological features, that is, fibrosis (qFibrosis), inflammation (qInflammation), hepatocyte ballooning (qBallooning), and steatosis (qSteatosis), treating each as a continuous rather than categorical variable. Automated qFIBS analysis outputs showed strong correlation with each respective component of the NASH CRN scoring (P  qFIBS is an automated tool that accurately quantifies the critical components of NASH histological assessment. It offers a tool that could potentially aid reproducibility and standardization of liver biopsy assessments required for NASH therapeutic clinical trials. YR 2020 FD 2020-05-07 LK http://hdl.handle.net/10668/15277 UL http://hdl.handle.net/10668/15277 LA en DS RISalud RD Apr 8, 2025