Ultrasound hepatic elastography: A non-invasive indicator of insulin resistance in the pediatric population: A systematic review

BACKGROUND Insulin resistance (IR) plays a pivotal role in the pathogenesis of metabolic dysfunction-associated steatotic liver disease. While non-invasive imaging methods are increasingly used in pediatrics, the extent to which hepatic elastography reflects IR in children remains unclear. AIM To evaluate the association between ultrasound-based hepatic elastography parameters and clinical indices of IR in the pediatric population. METHODS A systematic search of PubMed, Scopus, and Web of Scienc