Research Article

Transient Elastography and Ultrasonography: Optimal Evaluation of Liver Fibrosis and Cirrhosis in Patients with Chronic Hepatitis B Concurrent with Nonalcoholic Fatty Liver Disease

Table 4

Diagnostic performances of TE, US, and TE combined with US in CHB patients with NAFLD for liver fibrosis and cirrhosis assessment.

StatisticTEUSTE plus US

Significant fibrosis assessment (F≥2)
AUC0.84 (0.75, 0.91)0.73 (0.63, 0.82)0.85 (0.76, 0.92)
Standard error0.0420.0510.043
Cut-off value6.660.61
Sensitivity (%)78.7 (64.3, 89.3)59.6 (44.3, 73.6)70.2 (55.1, 82.7)
Specificity (%)76.6 (62.0, 87.7)80.9 (66.7, 90.9)95.7 (85.5, 99.5)
PPV (%)77.1 (62.7, 88.0)75.7 (58.8, 88.2)94.3 (80.8, 99.3)
NPV (%)78.3 (63.6, 89.1)66.7 (52.9, 78.6)76.3 (63.4, 86.4)
Positive LR3.36 (2.0, 5.8)3.11 (1.7, 5.9)16.50 (4.2, 64.9)
Negative LR0.28 (0.2, 0.5)0.50 (0.3, 0.7)0.31 (0.2, 0.5)
Advanced fibrosis assessment (F≥3)
AUC0.95 (0.89, 0.98)0.76 (0.66, 0.84)0.95 (0.89, 0.99)
Standard error0.0240.0520.026
Cut-off value8.760.39
Sensitivity (%)83.9 (66.3, 94.5)67.7 (48.6, 83.3)87.1 (70.2, 96.4)
Specificity (%)96.8 (89.0, 99.6)74.6 (62.1, 84.7)95.2 (86.7, 99.0)
PPV (%)92.9 (76.5, 99.1)56.8 (39.5, 72.9)90.0 (73.5, 97.9)
NPV (%)92.4 (83.2, 97.5)82.5 (70.1, 91.3)93.7 (84.8, 98.3)
Positive LR26.4 (6.7, 104.2)2.7 (1.6, 4.3)18.3 (6.0, 55.6)
Negative LR0.17 (0.07, 0.4)0.43 (0.3, 0.7)0.14 (0.05, 0.3)
Cirrhosis assessment (F=4)
AUC0.96 (0.90, 0.99)0.71 (0.61, 0.80)0.96 (0.90, 0.99)
Standard error0.0230.0710.022
Cut-off value10.970.14
Sensitivity (%)92.9 (66.1, 99.8)50.0 (23.0, 77.0)92.9 (66.1, 99.8)
Specificity (%)93.8 (86.0, 97.9)85.0 (75.3, 92.0)93.8 (86.0, 97.9)
PPV (%)72.2 (46.5, 90.3)36.8 (16.3, 61.6)72.2 (46.5, 90.3)
NPV (%)98.7 (92.9, 100.0)90.7 (81.7, 96.2)98.7 (92.9, 100.0)
Positive LR14.9 (6.3, 35.1)3.3 (1.6, 7.0)14.9 (6.3, 35.1 )
Negative LR0.08 (0.01, 0.5)0.59 (0.3, 1.0)0.08 (0.01, 0.5)

Data in parentheses were 95% confidence interval. AUC=area under the ROC curve. PPV=positive predictive value. NPV=negative predictive value. LR=likelihood ratio.