Accuracy of bone and angiogenesis biomarkers in predicting osteonecrosis in Gaucher disease patients. ROC curve analysis with area under the curve, sensitivity and specificity of (a) osteopontin, (b) MMP-2, (c) MMP-9 and (d) VEGF-C in the prediction of osteonecrosis. Cut-offs for (e) osteopontin, (f) MMP-2, (g) MMP-9 and (h) VEGF-C in patients who remained free from osteonecrosis and those who sustained osteonecrosis during follow-up. For each marker, individual values are shown before, during and after the event. AUC = area under the curve; MMP = matrix metalloproteinase; ON = osteonecrosis; VEGF-C = vascular endothelial growth factor C. (●) Osteonecrosis-free; (●) incident osteonecrosis.