Table 3.

Biomarkers Available for use in Diagnosis of Advanced Fibrosis (Stages 3 or 4). Modified from reference (8)

TestParameters includednumberPPVNPVPatients unable to be classified “grey zone”
NAFLD fibrosis scoreAge, BMI, diabetes, AST/ALT ratio, platelets, albumin73382%88%24%
FibrotestAge, sex, total bilirubin, GGT,
a2-macroglobulin, apolipoprotein A1, haptoglobin
26760%98%32%
†FIB-4 indexAge, AST and ALT, platelets54180%90%30%
†BARD scoreBMI, diabetes, AST/ALT ratio82743%96%N/A
NAFIC scoreFerritin, type IV collagen, insulin61936%99%15%
†HepascoreAge, sex, total bilirubin, GGT,
a2-macroglobulin, hyaluronic acid
24257%92%11%

N/A, not applicable; NPV, negative predictive value; PPV, positive predictive value.

No independent validation cohort included in the study.

From: Nonalcoholic Fatty Liver Disease: The Overlooked Complication of Type 2 Diabetes

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