Table 3 Performance of PIVKA-II and AFP in differentiating HCC cases from controls at different cut-off values at diagnostic time.

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

Cut-off values

Sensitivity

Specificity

Youden Index

Diagnostic accuracy

Positive predictive value

Negative predictive value

Kappa index

χ2

PIVKA-II (mAU/ml)

 32

54.9%

92.8%

47.7%

83.3%

71.8%

84.7%

0.520

40.0

 40

45.1%

97.8%

42.9%

83.6%

88.5%

82.8%

0.508

57.8

 80

37.3%

99.3%

36.6%

82.5%

95.0%

81.1%

0.452

52.5

 400

23.5%

100%

23.5%

79.4%

100%

78.0%

0.310

34.7

AFP (ng/ml)

 5

74.5%

87.0%

61.5%

84.0%

67.9%

90.2%

0.593

51.0

 20

43.1%

98.6%

41.7%

83.6%

91.7%

82.4%

0.500

58.4

 40

35.3%

99.3%

34.6%

82.0%

94.7%

80.6%

0.431

49.2

 200

19.6%

100%

19.6%

78.3%

100%

77.1%

0.263

28.6

  1. PIVKA-II: Protein Induced by Vitamin K Absence or Antagonist-II; AFP: α-fetoprotein; HCC: hepatocellular carcinoma.