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Table 2 Accuracy of diagnostic panels for advanced liver fibrosis

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)

  

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

    

>0.676Â¥

43

96

82

80

Harrison [67]

BARD score

827

0.81

2-4

  

43

96

 

(BMI≥28 kg/m2, AAR≥0.8, diabetes)

       

Cales [68]

Fibrometer NAFLD

235

0.943

 

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

  1. AUROC, area under receiver operator characteristic curve; Se, sensitivity; Sp, specificity; PPV, positive predictive value; NPV, negative predictive value; ALT, alanine aminotransferase; AST, aspartate aminotransferase; BMI, body mass index; AAR, AST/ALT ratio; HA, hyaluronic acid; GGT, gamma-glutamyl transpeptidase; TIMP1, tissue inhibitor of metalloproteinase 1; PIIINP, amino-terminal propeptide of type III collagen; ULN, upper limit of normal; n/a, not available.
  2. †Estimation group; ¥Validation group.