A recent study comparing various risk scores and elastography (magnetic resonance and TE) against liver histology showed FIB-4 to better than other indices such as BARD, aspartate aminotransferase (AST)-to-platelet ratio index (APRI), AST/ALT ratio, and as good as MRE for predicting advanced fibrosis in patients with NAFLD (15, 16). Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.