Table 3 Performance of different screening protocols in detecting liver cancer in total population or in subpopulations stratified by aMAP score.

From: A stratified precision screening strategy for enhancing hepatitis B- and C-associated liver cancer detection: a prospective study

Screening method

Se

(95%CI)

Sp

(95%CI)

PPV

(95%CI)

NPV

(95%CI)

AUC

(95%CI)

Categorical NRI (95%CI)

Total

AFP/US

70.8

(60.2–79.9)

96.4

(95.6–97.1)

41.2

(33.3–49.4)

98.9

(98.5–99.3)

0.836

(0.821–0.850)

Ref.

GALADUS

91.0

(83.1–96.0)

95.9

(95.1–96.6)

44

(36.7–51.5)

99.7

(99.3–99.9)

0.935&

(0.924–0.944)

0.197@

(0.113–0.281)

aMAP < 60

AFP/US

75.0

(50.9–91.3)

96.7

(95.8–97.4)

19.0

(11.0-29.4)

99.7

(99.4–99.9)

0.858

(0.842–0.874)

Ref.

GALADUS

80.0

(56.3–94.3)

97.6

(96.8–98.2)

25.8

(15.5–38.5)

99.8

(99.5–99.9)

0.888

(0.873–0.902)

0.059

(-0.036-0.155)

aMAP ≥ 60

AFP/US

69.6

(57.3–80.1)

95.7

(93.7–97.1)

64.9

(52.9–75.6)

96.5

(94.6–97.8)

0.826

(0.795–0.854)

Ref.

GALADUS

94.2

(85.8–98.4)

90.5

(87.8–92.7)

53.3

(44.0-62.4)

99.3

(98.1–99.8)

0.923&

(0.900-0.942)

0.195@

(0.091–0.298)

aMAP triage$

89.9

(81.7–95.3)

95.2

(94.3–96.0)

39.8

(33.0-46.9)

99.6

(99.3–99.8)

0.925*

(0.915–0.935)

0.179#

(0.097–0.261)

  1. AFP/US and GALADUS protocol were classified as negative and positive;$performing GALADUS protocol for population with aMAP ≥ 60 and AFP/US protocol for population with aMAP < 60; & DeLong P < 0.05 with AFP/US as reference; @ Categorical NRI P < 0.05 with AFP/US as reference; * DeLong P < 0.025 with AFP/US as reference; # Categorical NRI P < 0.025 with AFP/US as reference.