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. 2026 Aug 27;17:1934127. doi: 10.3389/fneur.2026.1934127

Table 3.

Diagnostic efficacy of individual plasma biomarkers assessed by ROC curve analysis.

Diagnostic comparison setting Plasma biomarker AUC 95% CI Cutoff (pg/mL) Sensitivity (%) Specificity (%)
Distinguishing Alzheimer’s disease from HC p-Tau217 0.894 0.803–0.951 2.17 0.700 100.0
p-Tau181 0.862 0.764–0.930 1.82 0.775 96.7
NfL 0.832 0.728–0.909 83.21 0.800 77.5
GFAP 0.769 0.655–0.861 49.53 67.5 85.0
Aβ42/40 0.751 0.635–0.846 0.075 95.00 25.0
Aβ1-40 0.699 0.579–0.803 130.2 60.0 85.00
Aβ1-42 0.584 0.457–0.704 10.80 25.0 90.00
Distinguishing CSVD from HC GFAP 0.881 0.786–0.943 36.39 95.0 70.0
NfL 0.886 0.793–0.947 84.35 72.5 77.5
p-Tau181 0.762 0.647–0.855 1.82 77.5 67.5
p-Tau217 0.718 0.600–0.820 1.45 75.0 67.5
Aβ1-40 0.526 0.399–0.650 130.8 32.5 85.0
Aβ42/40 0.414 0.293–0.544 0.0718 22.5 92.5
Aβ1-42 0.376 0.231–0.457 4.00 95.0 71.5
Distinguishing Alzheimer’s disease from CSVD p-Tau217 0.877 0.781–0.941 3.07 52.5 85.0
p-Tau181 0.782 0.671–0.871 3.24 52.5 77.5
Aβ1-40 0.733 0.617–0.832 123.7 70.0 62.5
NfL 0.619 0.493–0.735 174.5 45.0 87.5
GFAP 0.614 0.451–0.698 163.81 64.0 70.0

AUC, area under the receiver operating characteristic curve; CI, confidence interval; Cutoff, optimal cut-off value (maximized Youden’s index); Sen, sensitivity; Spe, specificity; Aβ, amyloid-β; p-Tau: phosphorylated tau protein; NfL, neurofilament light chain; GFAP, glial fibrillary acidic protein.