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Diagnosis and risk stratification of NAFLD remains clinically challenge as patients with NAFLD are either asymptomatic or have nonspecific presenting complaints and may have normal liver enzymes. Nonalcoholic steatohepatitis (NASH), the clinically aggressive variant of NAFLD, is also difficult to differentiate noninvasively, and a liver biopsy is required to definitively diagnose NASH. Thus, the definitive diagnosis and risk stratification of NAFLD is embedded in histological assessment of the liver. Several clinical aides been investigated in an attempt to risk stratify and identify patients noninvasively as doing a liver biopsy in all patients with NAFLD are not feasible. Since these biomarkers are unable to differentiate NASH from non\u2010NASH, they have leveraged biochemical changes within the liver as patients progress to varying degree of hepatic fibrosis to identify patients with moderate fibrosis (fibrosis stage 2 or greater) and advanced fibrosis (fibrosis stage 3 or greater) to help guide the need for additional and more definitive workup. These clinical aides span from by\u2010products of apoptosis to statistical modelling of clinically available data to identify \u2018at\u2010risk\u2019 patients with NAFLD. The current review will focus the diagnostic performance of these noninvasive serum\u2010based biomarkers in NAFLD.<\/jats:p>","DOI":"10.1002\/edm2.127","type":"journal-article","created":{"date-parts":[[2020,4,5]],"date-time":"2020-04-05T14:44:15Z","timestamp":1586097855000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["The role of noninvasive biomarkers in diagnosis and risk stratification in nonalcoholic fatty liver disease"],"prefix":"10.1002","volume":"3","author":[{"given":"Jose","family":"Hernandez Roman","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Virginia Commonwealth University Richmond Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7392-7489","authenticated-orcid":false,"given":"Mohammad S.","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology and Nutrition 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