Summary of imaging techniques for evaluation of liver stiffness in patients with NAFLD
NMR-based techniques | |||||
---|---|---|---|---|---|
End-point | AUROC | Cutoff (kPa) | Diagnostic accuracy (%) | Study population, reference | |
2D MRE | |||||
AF | 0.93–0.96 | 3.6–4.8 | Se 85-Sp 85; PPV 71-NPV 93 | 628 NAFLD, [77, 113] | |
Cirrhosis | 0.9 | > 4.1 | Se 86-Sp 93; PPV 53-NPV 98 | 384 NAFLD, [77] | |
3D MRE | |||||
– 40Hz | AF | 0.98 | 2.43 | Se 100-Sp 94; PPV 72-NPV 100 | 100 NAFLD, [114] |
– 60Hz | 0.92 | 3.4 | |||
– 40Hz | Cirrhosis | 0.99 | 3.2 | Se 86-Sp 96; PPV 81-NPV 97 | |
– 60Hz | 0.98 | 4 |
US-based techniques | |||||
---|---|---|---|---|---|
End-point | AUROC | Cutoff (kPa) | Diagnostic accuracy (%) | Study population, reference | |
TE (Fibroscan®) | |||||
- M Probe | AF | 0.87 | 7.6–8 | Se 89-Sp 77; PPV 43-NPV 95 | 1, 540 NAFLD, [77] |
- XL Probe | 0.86 | 5.7–9.3 | Se 75-Sp 74; PPV 43-NPV 95 | 579 NAFLD, [77] | |
- M Probe | Cirrhosis | 0.92 | 10.3–11.3 | Se 87-Sp 86; PPV 46-NPV 98 | 1, 362 NAFLD, [77] |
- XL Probe | 0.94 | 7.2–16 | Se 84-Sp 80; PPV 39-NPV 98 | 654 NAFLD, [77] | |
ARFI | |||||
SF | 0.89 | Se 80-Sp 85 | 723 NAFLD, [136] | ||
2D-SWE | |||||
SF | 0.85 | 9.2 | 156 NAFLD, [138] | ||
AF | 0.89 | > 8.3 < 10.7 | Se 71-Sp 90 | 291 NAFLD, [139] | |
Cirrhosis | 0.91 | 13.5 | 156 NAFLD, [138] | ||
0.88 | > 10.5 | Se 90-Sp 72 | 291 NAFLD, [139] |
AF (F3); Cirrhosis (F4); significant fibrosis: 4 > F ≥ 2
The authors thank Giulio Mirabella for his contribution in the graphic support of the production of the figures in this paper.
VR, MM, AA and MP contributed conception and design of the study, VR and MM retrieved and selected the bibliographic references, VR and MM wrote the first draft of the manuscript, AA and MP revised it and wrote specific sessions. All authors contributed to manuscript revision, read and approved the submitted version.
The authors declare that they have no conflicts of interest.
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© The Author(s) 2020.