Liver magnetic resonance imaging, non-alcoholic fatty liver disease and metabolic syndrome risk in pre-pubertal Mexican boys

Multiparametric MRI assessed liver fat (PDFF) and fibroinflammation (cT1) in Hispanic prepubertal boys at risk for MASLD. Despite normal transaminases, mpMRI identified MASLD/MASH, with higher cT1/PDFF in those with metabolic risk factors. Elevated cT1 aligned with insulin resistance, supporting mpMRI, particularly cT1, for routine MASLD screening of high-risk pediatric groups.