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Background The aimed to investigate the diagnostic importance of controlled attenuation parameter by transient elastography technique for the treatment of liver steatosis with chronic hepatitis B.Methods Eighty-eight patients with CHB in this study.All of the patients were subjected to transient elastography technique to determine CAP.Using liver biopsy as reference, we determined receiver operating characteristic curves at different endpoints.Area under the ROC curves was used to evaluate the diagnostic importance of CAP for the treatment of liver steatosis with CHB.