Spleen Stiffness Performance in the Noninvasive Assessment of Gastroesophageal Varices after Transjugular Intrahepatic Portosystemic Shunts

Table 2

Diagnostic performance of SS, LS, SS/LS, LSPS, PH risk score, PSR, and varices risk score for evaluating the severity of GEVs in the post-TIPS short-term follow-up.

Characteristic	AUC (%)	Cutoff value	Sensitivity (%)	Specificity (%)	Youden index
Mild GEVs
SS	58.5	30.3	50.0	72.2	0.2
LS	54.7	13.6	35.9	83.3	0.2
SS/LS	55.0	3.6	25.9	100.0	0.3
LSPS	60.9	3.9	42.4	88.9	0.3
PH risk score	64.6	3.5	59.3	72.2	0.3
PSR	59.4	3.8	55.6	72.2	0.3
Varices risk score	64.1	2.3	42.4	89.9	0.3
Moderate GEVs
SS	65.5	30.6	59.4	70.8	0.3
LS	53.6	10.4	76.7	44.2	0.2
SS/LS	59.8	4.0	32.1	93.8	0.3
LSPS	65.1	4.8	53.6	81.6	0.4
PH risk score	68.8	5.2	64.3	73.5	0.4
PSR	38.0	10.2	18.8	93.9	0.1
Varices risk score	67.1	3.2	46.4	95.9	0.4
Severe GEVs
SS	73.9	31.9	83.3	67.6	0.5
LS	60.0	8.6	42.9	84.0	0.3
SS/LS	69.3	4.1	50.0	88.6	0.4
LSPS	57.3	2.5	83.3	46.5	0.3
PH risk score	62.6	5.0	83.3	59.2	0.4
PSR	36.7	26.0	16.7	100.0	0.1
Varices risk score	67.7	2.2	83.3	64.8	0.5

SS: spleen stiffness; LS: liver stiffness; SS/LS: spleen stiffness-to-liver stiffness ratio; LSPS: liver stiffness spleen-diameter-to-platelet-ratio score; PH risk score: portal hypertension risk score; PSR: platelet count-to-spleen diameter ratio; GEVs: gastroesophageal varices; TIPS: transjugular intrahepatic portosystemic shunt; AUC: areas under the receiver operating characteristic curve. AUC of SS was statistically compared with AUC of LS, SS/LS, LSPS, PH risk score, PSR, and varices risk score, respectively, in the same GEVs stage ().