Table 3. Performance of transient elastography and non-invasive blood parameters in detecting significant liver fibrosis.
Parameter | Formula | n | AUROC | 95%CI | p value | Best cut-off | PPV | NPV |
Transient elastography | - | 85 | 0.793 | 0.665, 0.921 | 0.004 | 5.35 | 19% | 100% |
APRI | 95 | 0.723 | 0.557, 0.889 | 0.013 | 0.935 | 60% | 93% | |
FIB-4 | 95 | 0.764 | 0.608, 0.920 | 0.003 | 2.324 | 60% | 93% | |
GPR | 79 | 0.757 | 0.605, 0.909 | 0.009 | 0.444 | 35% | 95% | |
GAR | 78 | 0.734 | 0.551, 0.917 | 0.013 | 16.918 | 60% | 93% |
Abbreviations: APRI, aspartate aminotransferase-to-platelet ratio index; FIB-4, Fibrosis-4; GAR, gamma-glutamyl transpeptidase-to-albumin ratio; GPR, gamma-glutamyl transpeptidase-to-platelet ratio; NPV, negative predictive value; Plt, platelet; PPV, positive predictive value; ULN, upper limit of normal.