GPT and metabolic dysfunction-associated steatotic liver disease: The AST/ALT ratio, AST/platelet ratio index (APRI), FIB-4 score, NAFLD fibrosis score [8], and plasma Cytokeratin-18 [9] have been validated in the pediatric population using the gold standard liver biopsies but showed limited performance and emphasized the prevailing urgency of having more precise diagnostic methods [10,11].