Table 4 Performance of the spectral, clinical and composite models to diagnose MASH in women.

From: Blood-based MASH diagnostic in candidates for bariatric surgery using mid-infrared spectroscopy: a European multicenter prospective study

Population

Group

model

n

n MASH

AUC

Threshold

Se

Sp

PPV

NPV

ACC

LR + 

LR-

Youden statistic

Women

Training

spectral

147

21

0.83 (0.73–0.91)

 

86 (71–100)

81 (74–87)

43 (33–55)

97 (94–100)

82 (74–88)

4.51 (3–7.38)

0.18 (0–0.37)

0.67 (0.50–0.82)

Validation

70

10

0.82 (0.67–0.95)

70 (40–90)

75 (63–85)

32 (19–47)

94 (88–98)

74 (64–84)

2.8 (1.41–5.33)

0.4 (0.11–0.84)

0.45 (0.12–0.73)

Training

Clinical (age and ALT)

147

21

0.85 (0.76–0.93)

0.1689

86 (71–100)

79 (71–86)

40 (32_50)

97 (94–100)

80 (73–86)

4 (2.77–6)

0.18 (0–0.40)

0.64 (0.47–0.79)

Validation

69

10

0.85 (0.70–0.97)

80 (50–100)

75 (63–85)

35 (24–50)

96 (90–100)

75 (65–85)

3.15 (1.86–5.80)

0.27 (0–0.65)

0.55 (0.25–0.79)

Training

Multivariate (spectral score + age + ALT)

147

21

0.90 (0.81–0.96)

0.2162

90 (76–100)

88 (81–94)

56 (44–69)

98 (95–100)

88 (82–93)

7.60 (4.75–13.5)

0.11 (0–0.28)

0.79 (0.62–0.90)

Validation

69

10

0.87 (0.71–0.98)

80 (50–100)

85 (75–93)

47 (33–67)

96 (91–100)

84 (75–93)

5.23 (2.9–11.8)

0.24 (0–0.58)

0.65 (0.36–0.90)

  1. The 95% CIs are given in brackets. MASH: Metabolic dysfunction-associated steatohepatitis; ALT: Alanine aminotransferase; AUC: Area under the ROC curve; Se: Sensitivity; Sp: Specificity; PPV: Positive predictive value; NPV: Negative predictive value; ACC: Accuracy rate; LR + : Positive likelihood ratio; LR-: Negative likelihood ratio.