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. 2017 Jul 26;5(4):384–393. doi: 10.14218/JCTH.2017.00013

Table 1. NASH Clinical Research Network histological scoring system.

NAFLD activity score NASH fibrosis stage
Steatosis
 < 5%: 0
 5–33%: 1
 34–66%: 2
 > 66%: 3
Lobular inflammation
 None: 0
 < 2: 1
 2–4: 3
 > 4: 4
Ballooning of hepatocytes
 None: 0
 Few ballooned: 1
 Many ballooned: 2
NAS score (0–8)
 < 3: not NASH
 ≥ 5: NASH
Stage 0
 No fibrosis

Stage 1
 Zone 3 perisinusoidal fibrosis
  • Mild – 1a

  • Moderate – 1b

  • Portal/periportal – 1c


Stage 2
 Perisinusoidal and portal/periportal fibrosis

Stage 3
 Bridging fibrosis

Stage 4
 Cirrhosis