Review Article

Noninvasive Biomarkers of Liver Fibrosis: An Overview

Table 3

AUROC for liver fibrosis biomarkers that are a mix of direct and indirect markers.

MarkerLiver disease evaluated by various markers AURCO for advanced fibrosis AURCO for cirrhosisReferences
CHCCHBNAFLDALD

The Fibrometer0.892**0.9430.83–0.962 0.883–0.9620.94[120, 121, 129, 152]
Fibrospect II 0.77–0.831NA 0.830.77–0.831[122, 124, 125]
SHASTA index***0.8780.878[126]
Hepascore0.82 0.830.82–0.90.89–0.92[127, 129, 152, 153]
ELF0.7730.93–0.98 0.8730.9440.773–0.98[130, 131]#

mixed population of 337 HCV and 46 HBV patients.
***HVC and HIV co-infected patients.
#1021 subjects recruited; the numbers in each diagnostic category were as follows: chronic hepatitis C, 496; ALD, 64; fatty liver, 61; hepatitis B, 61; primary biliary cirrhosis or primary sclerosing cholangitis, 53; recurrent disease after liver transplantation, 48; autoimmune hepatitis, 45; hemochromatosis, 32; cryptogenic cirrhosis, 19; hepatitis B and C, 4; 138 patients with other causes of liver disease like granuloma and abnormal liver enzymes from unknown cause.
NA: studied but AUROC is not available.