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Progressive hepatic fibrosis is associated with liver inflammation, and the inability to fully suppress inflammatory activity within 12\u00a0months is associated with progression to cirrhosis (54%) and death or need for liver transplantation (15%). Liver tissue examination remains the gold standard for assessing hepatic fibrosis, but laboratory and radiological tests may be useful non\u2010invasive methods to measure the fibrotic response. Severe liver inflammation can confound radiological assessments, and the preferred non\u2010invasive test in autoimmune hepatitis is uncertain. Individualised treatment adjustments and adjunctive anti\u2010fibrotic therapies are poised for study in this disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevention and reversal of hepatic fibrosis are achievable objectives in autoimmune hepatitis. 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