Table 1. Range of performance characteristics associated with common biomarkers used in the diagnosis of hepatocellular carcinoma (8,9).
Tumor biomarker | Sensitivity [range] (%) | Specificity [range] (%) |
---|---|---|
Alpha-fetoprotein | ||
>20 ng/mL | [41-65] | [80-94] |
>200 ng/mL | [20-45] | [99-100] |
>400 ng/mL | <20 | [99-100] |
Lens culinaris agglutinin-reactive alpha-fetoprotein | ||
Elevated serum AFP† | [37-75] | [83-94] |
Low serum AFP (≤20 ng/mL)‡ | [12-21] | [89-98] |
Des-γ-carboxyprothrombin/PIVKA II§ | [41-89] | [70-100] |
†, AFP-L3 cutoff values range from 10% to 35%; ‡, AFP-L3 cutoff value at 10%; §, DCP cutoff values range from 60 to 150 mAU/mL. AFP, alpha-fetoprotein; AFP-L3, Lens culinaris agglutinin-reactive alpha-fetoprotein; DCP, Des-γ-carboxyprothrombin; PIVKA II, prothrombin induced by vitamin K absence II.