Table 2. Summary of Studies Assessing Hepatic Steatosis Using CAP.
Study | N | Probe | Reference Standard | Target Degree of Steatosis | Optimal Cutoff (dB/m) | AUROC | Sen (%) | Spe (%) |
---|---|---|---|---|---|---|---|---|
Sasso et al. [19] | 115 | M | Biopsy | ≥ S1 (10%) | 238 | 0.91 | 91 | 81 |
≥ S2 | 259 | 0.95 | 89 | 86 | ||||
≥ S3 | 292 | 0.89 | 100 | 78 | ||||
de Lédinghen et al. [73] | 112 | M | Biopsy | ≥ S1 (10%) | 266 | 0.84 | 69 | 85 |
≥ S2 | 311 | 0.86 | 57 | 94 | ||||
≥ S3 | 318 | 0.93 | 87 | 91 | ||||
Myers et al. [74] | 153 | M | Biopsy | ≥ 10% | 283 | 0.81 | 76 | 79 |
≥ S1 (5%) | 289 | 0.79 | 68 | 88 | ||||
≥ S2 | 288 | 0.76 | 85 | 62 | ||||
≥ S3 | 283 | 0.70 | 94 | 47 | ||||
Masaki et al. [75] | 155 | M | Biopsy | ≥ S1 (5%) | 233 | 0.88 | 87 | 77 |
Chan et al. [76] | 161 | M | Biopsy | ≥ S1 (5%) | 263 | 0.97 | 92 | 94 |
≥ S2 | 263 | 0.86 | 97 | 68 | ||||
≥ S3 | 281 | 0.75 | 100 | 53 | ||||
Chon et al. [77] | 135 | M | Biopsy | ≥ S1 (5%) | 250 | 0.89 | 73 | 95 |
≥ S2 | 299 | 0.89 | 82 | 86 | ||||
≥ S3 | 327 | 0.80 | 78 | 84 | ||||
Shen et al. [78] | 152 | M | Biopsy | ≥ S1 (5%) | 253 | 0.92 | 89 | 83 |
≥ S2 | 285 | 0.92 | 93 | 83 | ||||
≥ S3 | 310 | 0.88 | 92 | 79 | ||||
Karlas et al. [79] | 65 | M | Biopsy | ≥ S1 (5%) | 234 | 0.93 | 93 | 87 |
≥ S2 | 269 | 0.94 | 97 | 81 | ||||
≥ S3 | 301 | 0.82 | 82 | 76 | ||||
de Lédinghen et al. [80] | 261 | M | Biopsy | ≥ S2 | 310 | 0.80 | 79 | 71 |
≥ S3 | 311 | 0.66 | 87 | 47 | ||||
Eddowes et al. [81] | 380 | M, XL | Biopsy | ≥ S1 (5%) | 302 | 0.87 | 80 | 83 |
≥ S2 | 331 | 0.77 | 70 | 76 | ||||
≥ S3 | 337 | 0.70 | 72 | 63 | ||||
Oeda et al. [82] | 122 | M | Biopsy | ≥ S2 | 267 | 0.64 | 93 | 36 |
≥ S3 | 286 | 0.69 | 90 | 43 | ||||
XL | Biopsy | ≥ S2 | 273 | 0.68 | 96 | 32 | ||
≥ S3 | 302 | 0.71 | 84 | 48 | ||||
Caussy et al. [83] | 100 | M | MRI-PDFF | ≥ 5% | 294 | 0.84 | 75 | 78 |
≥ 10% | 311 | 0.89 | 79 | 85 | ||||
XL | MRI-PDFF | ≥ 5% | 307 | 0.86 | 74 | 75 | ||
≥ 10% | 322 | 0.93 | 83 | 87 |
AUROC = area under the receiver operating characteristic curve, CAP = controlled attenuation parameter, PDFF = proton density fat fraction, Sen = sensitivity, Spe = specificity