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. 2018 Jun 28;13(6):e0199760. doi: 10.1371/journal.pone.0199760

Table 8. Diagnostic accuracies of APRI and FIB-4 for predicting liver fibrosis (Moderate to severe necroinflammation score 9–18, N = 540).

Index AUROCcutoff Bootstrap AUROCcutoff cutoff sensitivitycutoff specificitycutoff PPVcutoff NPVcutoff Sensitivity + Specificity-1
To predict fibrosis ≥2
 APRI 0.65 (0.61–0.70) 0.65(0.61–0.70) 2.2 61.5% 69.3% 83.9% 40.9% 30.9%
 FIB-4 0.68 (0.64–0.72) 0.68 (0.64–0.73) 3.0 67.4% 68.8% 84.8% 44.8% 36.1%
To predict fibrosis ≥3
 APRI 0.65(0.61–0.69) 0.68 (0.64–0.72) 1.4 84.3% 45.0% 70.8% 64.4% 36.5%
 FIB-4 0.71 (0.67–0.75) 0.70 (0.66–0.74) 2.9 76.1% 65.1% 77.5% 63.3% 41.2%
To predict fibrosis = 4
 APRI 0.68 (0.64–0.72) 0.68 (0.64–0.72) 2.2 76.1% 59.4% 50.0% 82.3% 35.4%
 FIB-4 0.70(0.66–0.74) 0.70 (0.66–0.74) 5.0 54.3% 84.9% 65.8% 77.7% 39.7%

APRI, aspartate aminotransferase (AST)- to-platelet ratio index; FIB-4, fibrosis index based on the four factors; AUROC, area under receiver operating characteristic