Published online Nov 27, 2025. doi: 10.4254/wjh.v17.i11.111354
Revised: July 26, 2025
Accepted: October 27, 2025
Published online: November 27, 2025
Processing time: 152 Days and 18.2 Hours
Core Tip: Artificial intelligence (AI), machine learning and deep learning, holds transformative potential for the non-invasive diagnosis and risk stratification of metabolic dysfunction-associated steatotic liver disease (MASLD). These AI models utilize readily available clinical data, biomarkers, and imaging modalities (ultrasound, computed tomography, magnetic resonance imaging) to detect steatosis, predict disease risk, and stage fibrosis with greater accuracy than conventional scoring systems such as fibrosis-4. Despite their promising performance, several challenges hinder widespread clinical adoption, including the need for data standardization, rigorous prospective validation, model interpretability, and seamless integration into existing healthcare workflows. Overcoming these barriers is essential to fully harness AI potential in improving MASLD diagnosis and management.
