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. 2020 Jan 20;14:157–169. doi: 10.2147/OPTH.S199064

Table 1.

Diagnostic Properties of Liver Enzymes in Uveal Melanoma Metastatic Disease (UM)

ENZYME Eskelin et al9
Sensitivity (%) Specificity (%) Likelihood Ratio (+)
FAL 27 93 5.0
AST 43 95 5.8
ALT 38 90 3.8
LDH 67 96 14.7
COMS Report 239–90 days earlier
ENZYME Sensitivity (%) Specificity (%) Positive predictive values (%)
Large Medium Large Medium Large Medium
FAL 18.9 14.4 99.3 99.3 92.3 72.7
AST 10.0 7.1 98.9 99.6 79.2 66.7
ALT 12.8 7.3 98.6 99.4 80.0 61.5
Bilirubin 4.2 0 99.1 99.6 66.7 0
> 1 altered (LFT) 26.7 19.6 97.8 98.5 83.6 61.1

Note: Data from Eskelin et al.9

Abbreviations: ALT, alanine-aminotransferase; aspartate-aminotransferase (AST), FAL, alkaline phosphatase; LDH, lactic dehydrogenase; LFT, liver function tests.