Research Article

Development and Validation of a Novel Model to Predict Liver Histopathology in Patients with Chronic Hepatitis B

Table 4

Diagnostic accuracy of these models in patients with normal or mildly increasing ALT level.

ModelsTraining cohortValidation cohort

Patients with
ALT ⩽2ULN
AUC (95%Cl)Compare withAUC (95%Cl)Compare with
ATPIAPRIFib-4GPRHBeAg (+)
model
ATPIAPRIFib-4GPRHBeAg (+)
model
 ATPI0.74 (0.63-0.83)10.74 (0.61-0.84)1
 APRI0.67 (0.56-0.77)0.0910.74 (0.62-0.84)0.901
 Fib-40.63 (0.52-0.73)0.120.5110.71 (0.59-0.82)0.660.521
 GPR0.67 (0.56-0.77)0.240.950.6210.75 (0.63-0.85)0.880.930.591
HBeAg (+) model0.68 (0.57-0.78)0.320.650.390.7910.73 (0.61-0.83)0.940.870.750.781
Patients with
ALT ⩽1 ULN
 ATPI0.78 (0.65-0.87)10.79 (0.57-0.93)1
 APRI0.67 (0.54-0.79)0.0610.79 (0.58-0.93)0.931
 Fib-40.66 (0.52-0.78)0.150.7910.73 (0.52-0.89)0.640.471
 GPR0.68 (0.54-0.79)0.150.920.7810.67 (0.45-0.85)0.500.390.681
HBeAg (+) model0.71 (0.57-0.82)0.320.510.460.7510.70 (0.48-0.87)0.540.420.800.821