Normal ALT [ALT <30 IU/l for females and ALT <45 IU/l for males] | |||||||
Test | AUROC | Cut-off | Sens (%) | Spec (%) | PPV (%) | NPV (%) | Avoid biopsy |
AST/ALT | 0.81 | 0.8 | 94 | 44 | 35 | 96 | 18/70 (26%) |
BARD | 0.71 | 2 | 94 | 26 | 29 | 93 | 15/70 (21%) |
FIB-4 | 0.86 | 1.30 | 82 | 77 | 52 | 92 | 43/70 (61%) |
NAFLD | 0.85 | −1.455 | 82 | 51 | 35 | 90 | 29/70 (41%) |
Raised ALT | |||||||
AST/ALT | 0.79 | 0.8 | 59 | 86 | 46 | 91 | 184/235 (78%) |
BARD | 0.78 | 2 | 83 | 57 | 28 | 94 | 118/235 (50%) |
FIB-4 | 0.85 | 1.30 | 81 | 72 | 37 | 95 | 148/235 (63%) |
NAFLD | 0.80 | −1.455 | 71 | 65 | 29 | 92 | 138/235 (59%) |