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. 2018 Jun 6;91(1089):20170959. doi: 10.1259/bjr.20170959

Table 3.

Studies on diagnostic accuracy of MR with liver biopsy as reference standard

Author, year (reference) Design N Indication PDFF threshold (%) Sensitivity Specificity
Bohte et al47 Meta-analysis: 11 studies from 2001 to 2009 569 Potential liver donor/NAFLD/liver resection N/A Grade > 0%: 0.82
Grade > 10%: 0.90
Grade > 25%: 0.97
Grade > 0%: 0.90
Grade > 10%: 0.95
Grade > 25%: 0.76
Idilman et al Retrospective 70 Biopsy-proven NAFLD Grade ≥ 2: 15% Grade ≥ 2: 0.93 Grade ≥ 2: 0.85
Tang et al76 Prospective 89 NAFLD Grade ≥ 1: 6.4
Grade ≥ 2: 17.4
Grade = 3: 22.1
Grade ≥ 1: 0.86
Grade ≥ 2: 0.64
Grade = 3: 0.71
Grade ≥ 1: 0.83
Grade ≥ 2: 0.96
Grade = 3: 0.92
Paige et al39 Prospective 61 Biopsy-proven NAFLD Grade ≥ 2: 13.45
Grade = 3: 16.83
Grade >= 2: 0.85
Grade = 3: 1.00
Grade >= 2: 0.96
Grade = 3: 0.81
Middleton et al., 201777 Multicenter RCT 110 Paediatric NAFLD clinical trial Grade ≥ 2: 17.5
Grade = 3: 23.3
Grade ≥ 2: 0.74
Grade = 3: 0.60
0.90a
Middleton et al., 201777 Multicenter RCT 113 NASH clinical trial Grade ≥ 2: 16.3
Grade = 3: 21.7
Grade ≥ 2: 0.83
Grade = 3: 0.84
0.90a

N, sample size; NAFLD, non-alcoholic fatty liver disease; NASH, non-alcoholic steatohepatitis; PDFF, proton-density fat fraction; RCT, randomised controlled trial.

aPDFF threshold was chosen for a target specificity of 0.90.