Non-Invasive Quantification of Liver Health in NASH (N-QUAN)

Inclusion criteria

• Male and Female subjects aged between 18 and 75 years old
• Ability to understand and sign a written informed consent forms
• Patients scheduled to undergo a standard of care diagnostic liver biopsy as follows
• Percutaneous biopsy with a 16 gauged needle passed into the right lobe
• Trans-jugular biopsy with an 18 gauged needle passed into the right lobe
• Patients who are suspected of having NAFLD, who are being considered for treatment, and presenting with two or more of the following risk factors for NASH
• Elevated liver enzymes (ALT≥40)
• BMI≥25kG/m\^2
• Hypertension
• Type II diabetes
• Dyslipidameia
• Low High-density lipoprotein (HDL) (\<40mg/dl in men or \<50mg/dl in women)
• Hypertriglyceridemia (≥150mg/dl)
• Hypercholestrolemia (≥200mg/dl)
• Triglycerides (TG)/HDL\>5.0

Exclusion criteria

• Prior histopathological diagnosis of NASH
• Inability to undergo a liver biopsy
• Prior or planned liver transplantation
• Patient scheduled to undergo a laparoscopic or wedge liver biopsy or biopsy taken from the left lobe
• Participation in an investigational new drug (IND) trial in the 30 days before enrolment
• Other known causes of chronic liver disease based on clinical criteria at the study site such as the following:
• Alcoholic liver disease
• Primary biliary cirrhosis
• Primary sclerosing cholangitis
• Autoimmune Hepatitis
• Wilson's disease, hemochromatosis, iron overload
• Alpha/1/Antitrypsin (A1AT) deficiency
• HCV, HBV
• History or diagnosis of cirrhosis and or hepatic decompensation including ascites, hepatic encephalopathy or variceal bleeding
• Clinically relevant drug or alcohol abuse within 12 months of screening
• Any contradiction or significant limitation to MRI scanning
• Claustrophobia preventing MR imaging (requires 15-30 minutes in scanning)
• Pacemaker or another implanted device
• Metal in body (such as an aneurysm clip) that might produce artefacts on abdominal MRI or might be adversely impacted by a high magnetic field
• Inability to lie flat, remain still or briefly hold breath as necessary during MR imaging
• Medical condition likely to produce significant hypervolemia like congestive heart failure
• Severe obesity complicating positioning in MR scanner
• Weight reduction surgery within 3 years
• Concomitant medical illnesses per investigators discretion (such as HIV infection, recent major surgery, uncontrolled heart disease, concurrent infection or fever of unknown origin, illicit drug use, cancer
• Clinically significant medical or psychiatric condition considered a high risk participation in an investigational study
• Failure to give informed consent