From: Noninvasive biomarkers for the diagnosis of steatohepatitis and advanced fibrosis in NAFLD
Reference | Biomarkers | N | AUROC | Cutoff value | Se (%) | Sp (%) | PPV (%) | NPV (%) |
---|---|---|---|---|---|---|---|---|
Angulo [61] | age≥45 years, obesity (BMI>31.1 for male, | 144 | n/a | n/a | n/a | n/a | n/a | n/a |
 | >32.3 for female), diabetes, AAR>1 |  |  |  |  |  |  |  |
Ratziu [62] | BAAT score | 93 | 0.84 | 0 | 100 | 11 | 33 | 100 |
 | (BMI≥28 kg/m2, age≥50 years, ALT≥2xULN, |  |  | 1 | 100 | 47 | 45 | 100 |
 | triglycerides≥1.7 mmol/L) |  |  | 2 | 71 | 80 | 61 | 86 |
 |  |  |  | 3 | 14 | 100 | 100 | 73 |
 |  |  |  | 4 | 0 | 100 | 0 | 70 |
Rosenberg | Original European Liver Fibrosis panel | 61 | 0.87 | 0.375 | 89 | 96 | 80 | 98 |
[63] | (age, HA, TIMP1, PIIINP) | Â | Â | 0.462 | 78 | 98 | 87 | 96 |
Guha [64] | Enhanced Liver Fibrosis panel | 192 | 0.90 | 0.3576 | 80 | 90 | 71 | 94 |
 | (HA, TIMP1, PIIINP) |  |  |  |  |  |  |  |
Gholam [51] | ALT, HbA1C | 97 | 0.90 | 6.6 | 83 | 82 | n/a | n/a |
Ratziu [65] | FibroTest | 267 | 0.81 | 0.3 | 77 | 77 | 54 | 90 |
 | (α2 macroglobulin, haptoglobin, GGT, |  |  | 0.7 | 15 | 98 | 73 | 76 |
 | Total bilirubin, apolipoprotein A1) |  |  |  |  |  |  |  |
Angulo [66] | NAFLD Fibrosis Score | 733 | 0.84 | <−1.455†| 82 | 77 | 56 | 93 |
 | (age, hyperglycemia, BMI, platelet count, |  |  | >0.676†| 51 | 98 | 90 | 85 |
 | albumin, AAR) |  |  | <−1.455¥ | 77 | 71 | 52 | 88 |
 |  |  |  | >0.676¥ | 43 | 96 | 82 | 80 |
Harrison [67] | BARD score | 827 | 0.81 | 2-4 | Â | Â | 43 | 96 |
 | (BMI≥28 kg/m2, AAR≥0.8, diabetes) |  |  |  |  |  |  |  |
Cales [68] | Fibrometer NAFLD | 235 | 0.943 | Â | 78.5 | 95.9 | 87.9 | 92.1 |
 | (glucose, AST, ferritin, ALT, body weight, |  |  |  |  |  |  |  |
 | age) |  |  |  |  |  |  |  |
Shah [69] | FIB4 index | 541 | 0.802 | <1.30 | 74 | 71 | 43 | 90 |
 | (age, ALT, AST, platelet count) |  |  | >2.67 | 33 | 98 | 80 | 83 |
Sumida [59] | NAFIC score | 619 | 0.834 | 0 | 95 | 33 | 32 | 96 |
 | [serum ferritin (≥200 ng/mL for female, |  |  | 2-4 | 84 | 74 | 52 | 93 |
 | ≥300 ng/mL for male), fasting insulin≥10 |  |  |  |  |  |  |  |
 | μU/mL, type IV collagen 7S≥5 ng/mL] |  |  |  |  |  |  |  |
Younossi [60] | NAFLD Diagnostic Panel | 79 | 0.80 | 0.2188 | 90.91 | 43.59 | 57.7 | 85 |
 | (diabetes, gender, BMI, triglycerides, |  |  | 0.4242 | 60.61 | 71.79 | 64.5 | 68.3 |
 | apoptotic and necrotic CK18 fragments) |  |  | 0.5689 | 51.52 | 89.74 | 81 | 68.6 |