Recent work has described the use of non-invasive biomarkers associated with hepatocyte apoptosis (cytokeratin-18, CK-18), inflammation (ferritin), and fibrosis (procollagen III N-terminal propeptide, PIIINP), and other types of scoring systems and imaging methods to diagnose NASH [12, 13]. This evidence concerns the gene KRT18 and metabolic dysfunction-associated steatohepatitis.