Table 2 Performance of AFP and candidate biomarkers distinguishing HCC cases from liver cirrhosis cases and healthy normal controls in the serum validation cohorts.
Diagnostic modelsa | AUC (95% CI) | Pb | Sensitivity (95% CI) | Specificity (95% CI) | Cutoffc | Pd (vs. AFP) |
---|---|---|---|---|---|---|
AFP | 0.831 (0.716–0.913) | < 0.01 | 75.0% (47.60–92.70%) | 85.4% (72.2–93.9%) | 4.97 ng/mL | – |
AKR1B10 | 0.891 (0.788–0.955) | < 0.01 | 75.0% (47.6–92.7%) | 89.6% (77.3–96.5%) | 122.29 ng/mL | 0.46 |
CTSA | 0.894 (0.792–0.957) | < 0.01 | 100.0% (79.4–100.0%) | 64.5% (49.5–77.8%) | 0.56 ng/mL | 0.38 |
AFP + CTSA | 0.932 (0.841–0.980) | < 0.01 | 100.0% (79.4–100.0% | 77.1% (62.7–88.0%) | 0.12 | 0.09 |
CTSA + AKR1B10 | 0.952 (0.867–0.990) | < 0.01 | 93.7% (69.8–99.8%) | 83.3% (69.8–92.5%) | 0.11 | 0.08 |
AFP + AKR1B10 | 0.958 (0.876–0.992) | < 0.01 | 87.5% (61.7–98.4%) | 89.6% (77.3–96.5%) | 0.15 | 0.035 |
AFP + AKR1B10 + CTSA | 0.969 (0.892–0.996) | < 0.01 | 93.7% (69.8–99.8%) | 85.4% (72.2–93.9%) | 0.12 | 0.029 |