Skip to main content

Table 1 Accuracy of diagnostic panels for NASH

From: Noninvasive biomarkers for the diagnosis of steatohepatitis and advanced fibrosis in NAFLD

Reference

Biomarkers

N

AUROC

Cutoff value

Se (%)

Sp (%)

PPV (%)

NPV (%)

Dixon [48]

HAIR score

105

0.90

score>2

80

89

n/a

n/a

 

(hypertension, ALT>40 U/L, IR index>5)

       

Palekar [49]

age≥50 years, female gender, AST≥45 U/L,

80

0.76

score≥3

73.7

65.7

68.2

71.4

 

BMI≥30 kg/m2, AAR ratio≥0.8, HA≥55 mcg/L

       

Poynard [50]

NashTest

257

0.78

n/a

33

94

66

81

 

(age, sex, height, weight, triglyceride, GGT,

       
 

cholesterol, alpha2macroglobulin, AST, ALT,

       
 

apolipoprotein A1, haptoglobin, total bilirubin)

       

Gholam [51]

AST, presence of diabetes

97

0.82

8.22

76

66

n/a

n/a

Campos [52]

NASH Clinical Scoring System for Morbid

186

0.80

0-2

  

7

93

 

obesity (hypertension, type 2 diabetes,

  

3-4

  

27

73

 

AST≥27 U/L, ALT ≥27 U/L, sleep apnea,

  

5

  

59

41

 

non-black race)

  

6-7

  

93

7

Ulitsky [53]

diabetes, ALT >40 U/L, triglyceride >150

253

0.76

0-1

  

10.6

89.4

 

mg/dL, sleep apnea

  

2-3

  

24.7

75.3

    

4

  

60

40

    

5

  

75

25

Shimada [54]

adiponectin≤4 mcg/mL, HOMA-IR≥3,

85

n/a

all 3 +ive

94

74

94

74

 

type IV collagen 7S≥5 ng/mL

       

Tarek [56]

CK18 fragments, sFas

95

0.93

−0.5509

88

89

n/a

n/a

Younossi [57]

NASH Diagnostics

101

0.908

0.2772

94.5

70.2

60

97.1

 

(cleaved and intact CK18 levels,

       
 

serum adiponectin and resistin levels)

       

Sookoain [58]

BMI, waist circumference, ALT, AST, AP,

101

0.795

n/a

n/a

n/a

n/a

n/a

 

GGT, HOMA, CRP, sICAM-1

       

Sumida [59]

NAFIC score

177†

0.851†

1

94

48

31

86

 

[serum ferritin (≥200 ng/mL for female,

  

2

66

91

90

67

 

≥300 ng/mL for male), fasting insulin ≥10

442Â¥

0.782Â¥

1

88

43

66

75

 

μU/mL, type IV collagen ≥5 ng/mL]

  

2

60

87

85

64

Younossi [60]

NAFLD Diagnostic Panel

79

0.81

0.221

91.2

47.4

60.8

85.7

 

(diabetes, gender, BMI, triglycerides,

  

0.3641

79.4

73.7

73

80

 

apoptotic and necrotic CK18 fragments)

  

0.6183

44.1

92.1

83.3

64.8

  1. AUROC, area under receiver operator characteristic curve; Se, sensitivity; Sp, specificity; PPV, positive predictive value; NPV, negative predictive value; ALT, alanine aminotransferase; IR, insulin resistance; AST, aspartate aminotransferase; BMI, body mass index; AAR, AST/ALT ratio; HA, hyaluronic acid; GGT, gamma-glutamyl transpeptidase; HOMA-IR, homeostasis model assessment of insulin resistance; AP, alkaline phosphatase; CRP, C-reactive protein; n/a, not available.
  2. †Estimation group; ¥Validation group.