The Concept of CMR
Intra-abdominal Adipose Tissue: the Culprit?
Liver Fat
- 1Key Points (1 page)
- 2Liver Fat: a Marker of Ectopic Fat Deposition (1 page)
- 3Epidemiology (1 page)
- 4Liver Fat and Metabolic Disease (1 page)
- 5Pathogenesis (3 pages)
- 6Measuring Liver Fat (2 pages)
- 7References (1 page)
Key Points
- Non-alcoholic fatty liver disease is a common cause of chronic liver disease and is closely associated with a range of cardiometabolic risk factors as well as diabetes and mortality risk.
- It is unknown how liver fat develops but a number of plausible mechanisms have been proposed, including ‘spillover’ of excess energy from adipose tissue, adiponectin deficiency, a high fat diet, and/or overactivation of the endocannabinoid system.
- Increased liver fat storage is related to hepatic insulin resistance and increased synthesis and secretion of atherogenic lipoproteins.
- The gold standard method for quantifying liver fat is liver biopsy. However, imaging techniques such as magnetic resonance spectroscopy (MRS) and computed tomography (CT) are safe and reliable alternatives.

The Concept of CMR
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