Table 2 Sensitivity and Specificity of PIVKA-II and AFP in differentiating HCC cases from controls at two fixed cut-off values.

From: Efficacy of PIVKA-II in prediction and early detection of hepatocellular carcinoma: a nested case-control study in Chinese patients

Months before HCC diagnosis

Sensitivity

Specificity

Youden Index

Sensitivity

Specificity

Youden Index

PIVKA-II (mAU/ml)

≥32.0

  

≥100

  

−12

31.4%

93.5%

24.9%

2.9%

100%

2.9%

−9

27.8%

94.4%

22.2%

5.6%

99.1%

4.7%

−6

38.9%

92.6%

31.5%

8.3%

100%

8.3%

−3

41.7%

92.6%

34.3%

19.4%

100%

19.4%

0

58.3%

92.6%

50.9%

36.1%

100%

36.1%

AFP (ng/ml)

≥5.0

  

≥200

  

−12

51.4%

77.8%

29.2%

2.9%

100%

2.9%

−9

47.2%

77.8%

25.0%

0

100%

0

−6

55.6%

88.0%

43.6%

5.6%

100%

5.6%

−3

66.7%

88.9%

55.6%

16.7%

100%

16.7%

0

75.0%

91.7%

66.7%

19.4%

100%

19.4%

AFP +PIVKA-II

≥5.0 or * ≥32.0

  

≥5.0 and ** ≥32.0

  

−12

27.8%

75.9%

3.7%

13.8%

98.1%

11.9%

−9

61.1%

75.0%

36.1%

13.8%

98.1%

11.9%

−6

72.2%

82.4%

54.6%

22.2%

99.1%

21.3%

−3

77.8%

82.4%

60.2%

16.7%

100%

16.7%

0

88.9%

85.2%

74.1%

25.0%

100%

25.0%

  1. PIVKA-II: Protein Induced by Vitamin K Absence or Antagonist-II; AFP: α-fetoprotein; HCC: hepatocellular carcinoma.
  2. *or: Positive is defined as either PIVKA-II or AFP above cut-off value.
  3. **and: Positive is defined as both PIVKA-II and AFP above cut-off value.