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. 2025 Jul 31;7(11):101542. doi: 10.1016/j.jhepr.2025.101542

Table 3.

Immunostaining performances of PSMA, Glypican 3, HSP70, and GS alone or in combination for diagnosing HCC in small nodules (≤2 cm).

Markers Minimum positive markers required Test cohort (n = 287)
Validation cohort (n = 106)
Se Spe PPV NPV Accuracy Se Spe PPV NPV Accuracy
PSMA 1 0.77 0.85 0.75 0.86 0.82 0.92 0.77 0.54 0.97 0.80
Glypican 3 1 0.40 0.98 0.91 0.73 0.76 0.38 0.99 0.90 0.84 0.85
HSP70 1 0.42 0.93 0.78 0.73 0.74 0.67 0.54 0.30 0.85 0.57
GS 1 0.21 0.99 0.96 0.68 0.70 0.33 1 1 0.84 0.85
Glypican 3, HSP70, GS 2 0.30 0.99 0.94 0.70 0.73 0.38 0.99 0.90 0.84 0.85
PSMA, Glypican 3, HSP70, GS 2 0.57 0.99 0.97 0.79 0.83 0.79 0.87 0.63 0.93 0.85

Best performance for each metric is highlighted in bold. GS, glutamine synthetase; HSP70, heat shock protein 70; NPV, negative predictive value; PPV, positive predictive value; PSMA, prostate-specific membrane antigen; Se, sensitivity; Spe, specificity.