The Metabolic Syndrome as a Predictor of Nonalcoholic Fatty Liver Disease

  1. Masahide Hamaguchi, MD;
  2. Noriyuki Takeda, MD; and
  3. Takao Kojima, MD
  1. From Asahi University Murakami Memorial Hospital, Gifu 500-8523, Japan.

    IN RESPONSE:

    Drs. Chavez-Tapia, Mendez-Sanchez, and Uribe argue that our study's lack of a second ultrasonographic evaluation by a different reviewer restricts the accuracy of the diagnosis of NAFLD. We understand that ultrasonography is not a perfect test and may lead to an incorrect diagnosis of NAFLD in many patients. However, as reported in the reference they quoted (1), interobserver variability is much greater …

    This 100-word excerpt has been provided in the absence of an abstract.

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