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. 2023 Jan 21;17(5):887–900. doi: 10.1002/1878-0261.13371

Table 2.

Performance of the immunodiagnostic model and AFP to detect HCC in different sets. The cutoff value of the immunodiagnostic model was set at the maximum Youden index when the specificity was > 90%. The cutoff value of AFP was 20 ng·mL−1. +LR, positive likelihood ratio; AFP, alpha‐fetoprotein; AUC, area under curve; −LR, negative likelihood ratio; NPV, negative predictive value; PPV, positive predictive value; Se, sensitivity; Sp, specificity; TAAb, autoantibody to tumor‐associated antigen. AFP‐negative means the HCC patients with serum AFP concentration lower than 20 ng·mL−1, AFP‐positive indicates that the HCC patients with serum AFP concentration not < 20 ng·mL−1, PP refers the prediction probability (PP) value of the 6‐TAAb panel by the binary logistic regression.

AUC (95%CI) Se (%) Sp (%) Youden index +LR −LR Accuracy (%) Kappa PPV (%) NPV (%)
Training set
AFP 0.702 (0.640–0.759) 44.5 95.2 0.397 9.35 0.58 70.0 0.437 98.6 58.3
Model a 0.835 (0.797–0.873) 57.0 90.3 0.473 5.86 0.48 73.3 0.469 85.7 67.2
Model + AFP 0.923 (0.886–0.951) 75.3 98.7 0.740 59.45 0.25 81.9 0.623 99.3 60.9
Model in AFP‐negative group 0.831 (0.770–0.892) 52.8 88.6 0.414 4.63 0.53 69.4 0.402 84.2 61.9
Model in AFP‐positive group 0.861 (0.806–0.917) 64.4 91.2 0.556 7.35 0.39 77.6 0.548 79.7 82.8
Validation set
AFP 0.739 (0.663–0.805) 64.7 96.1 0.631 8.55 0.36 72.0 0.466 98.7 60.2
Model 0.788 (0.737–0.839) 43.3 88.1 0.314 3.62 0.64 67.2 0.317 75.3 64.8
Model + AFP 0.927 (0.890–0.964) 82.8 90.3 0.731 40.72 0.19 85.4 0.694 94.1 73.7
Model in AFP‐negative group 0.834 (0.755–0.914) 36.6 90.3 0.269 4.03 0.68 68.9 0.293 72.7 69.1
Model in AFP‐positive group 0.826 (0.755–0.897) 45.3 90.3 0.356 4.68 0.61 65.7 0.340 85.0 57.7
a

The model in this table is the immunodiagnostic model established by the binary logistic regression.