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the best performing non-invasive test (AUC 0.92), compared to controlled attenuated parameter (AUC 0.75). Assessment of the agreement between pathologists showed that concordance was best for steatosis (a = 0.58), moderate for ballooning (a = 0.4 and fibrosis (a = 0.4, and worst for lobular inflammation (a = 0.11). Quantitative mpMRI is an effective alternative to liver biopsy for diagnosing NASH and non-alcoholic fatty liver, and thus may offer clinical utility in patient management. Quantitative mpMRI is an effective alt