Non-invasive scores assessed liver fibrosis: (1) acoustic radiation force impulse (ARFI) indicated liver fibrosis in 67 patients, (2) the NAFLD score (which integrates age, BMI, diabetes, AST/ALT ratio, platelet count and albumin [31]) in 35 patients, (3) the aspartate aminotransferase/platelet (AST/PLT) ratio index (APRI) in 57 patients, and (4) the fibrosis 4 (FIB-4) score (calculated from age, AST, ALT and platelet count [32,33] in 53 patients (Table 1). Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.