An albumin, collagen IV, and longitudinal diameter of spleen scoring system superior to APRI for assessing liver fibrosis in chronic hepatitis B patients
Objectives: The aim of this study was to screen the non-invasive indexes correlated with liver fibrosis and establish a scoring system for the diagnosis of liver fibrosis in hepatitis B patients. Methods: Data of 34 non-invasive indexes were collected for 208 hepatitis B patients. Correlation analy...
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doaj-b9f7d1812e8f42cf998cdf59fab98a3a2020-11-25T00:36:55ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112015-02-0131C182210.1016/j.ijid.2014.10.030An albumin, collagen IV, and longitudinal diameter of spleen scoring system superior to APRI for assessing liver fibrosis in chronic hepatitis B patientsZhan-lian Huang0Xiu-ping Chen1Qi-yi Zhao2Yu-bao Zheng3Liang Peng4Zhi-liang Gao5Zhi-xin Zhao6Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, ChinaGuangdong No. 2 Provincial People's Hospital, Guangzhou, Guangdong, ChinaDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, ChinaDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, ChinaDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, ChinaDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, ChinaDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China Objectives: The aim of this study was to screen the non-invasive indexes correlated with liver fibrosis and establish a scoring system for the diagnosis of liver fibrosis in hepatitis B patients. Methods: Data of 34 non-invasive indexes were collected for 208 hepatitis B patients. Correlation analysis and stepwise discriminant analysis was used to screen out indexes useful for the diagnosis of liver fibrosis. Finally, a scoring system composed of indexes screened out by stepwise discriminant analysis was established for the assessment of liver fibrosis. Results: Twenty-one indexes correlating with liver fibrosis were screened out by correlation analysis; hyaluronic acid had the highest r-value, 0.456. A scoring system including albumin, collagen IV, and the longitudinal diameter of the spleen was established. The areas under the receiver operating characteristic curves (AUC) for this scoring system and the aspartate aminotransferase to platelet ratio index (APRI) in differentiating S3–4 from S0–2 were 0.79 (95% confidence interval (CI) 0.72–0.85) and 0.27 (95% CI 0.18–0.35), respectively. With a cut-off value of <3, the presence of significant fibrosis (S3–4) could be excluded by this scoring system with a negative predictive value of 86.1% and sensitivity of 86.8%. With a cut-off of >6, the presence of S3–4 fibrosis could be correctly identified with a positive predictive value of 73.6% and specificity of 87.6%. Using this scoring system, 53.4% of patients could be classified correctly and avoid liver biopsy. Conclusions: The scoring system provides a simpler method to identify significant fibrosis (S3–4) in chronic hepatitis B patients. http://www.sciencedirect.com/science/article/pii/S1201971214016968Chronic hepatitis BLiver fibrosisNon-invasive indexesScoring system |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zhan-lian Huang Xiu-ping Chen Qi-yi Zhao Yu-bao Zheng Liang Peng Zhi-liang Gao Zhi-xin Zhao |
spellingShingle |
Zhan-lian Huang Xiu-ping Chen Qi-yi Zhao Yu-bao Zheng Liang Peng Zhi-liang Gao Zhi-xin Zhao An albumin, collagen IV, and longitudinal diameter of spleen scoring system superior to APRI for assessing liver fibrosis in chronic hepatitis B patients International Journal of Infectious Diseases Chronic hepatitis B Liver fibrosis Non-invasive indexes Scoring system |
author_facet |
Zhan-lian Huang Xiu-ping Chen Qi-yi Zhao Yu-bao Zheng Liang Peng Zhi-liang Gao Zhi-xin Zhao |
author_sort |
Zhan-lian Huang |
title |
An albumin, collagen IV, and longitudinal diameter of spleen scoring system superior to APRI for assessing liver fibrosis in chronic hepatitis B patients |
title_short |
An albumin, collagen IV, and longitudinal diameter of spleen scoring system superior to APRI for assessing liver fibrosis in chronic hepatitis B patients |
title_full |
An albumin, collagen IV, and longitudinal diameter of spleen scoring system superior to APRI for assessing liver fibrosis in chronic hepatitis B patients |
title_fullStr |
An albumin, collagen IV, and longitudinal diameter of spleen scoring system superior to APRI for assessing liver fibrosis in chronic hepatitis B patients |
title_full_unstemmed |
An albumin, collagen IV, and longitudinal diameter of spleen scoring system superior to APRI for assessing liver fibrosis in chronic hepatitis B patients |
title_sort |
albumin, collagen iv, and longitudinal diameter of spleen scoring system superior to apri for assessing liver fibrosis in chronic hepatitis b patients |
publisher |
Elsevier |
series |
International Journal of Infectious Diseases |
issn |
1201-9712 1878-3511 |
publishDate |
2015-02-01 |
description |
Objectives: The aim of this study was to screen the non-invasive indexes correlated with liver fibrosis and establish a scoring system for the diagnosis of liver fibrosis in hepatitis B patients.
Methods: Data of 34 non-invasive indexes were collected for 208 hepatitis B patients. Correlation analysis and stepwise discriminant analysis was used to screen out indexes useful for the diagnosis of liver fibrosis. Finally, a scoring system composed of indexes screened out by stepwise discriminant analysis was established for the assessment of liver fibrosis.
Results: Twenty-one indexes correlating with liver fibrosis were screened out by correlation analysis; hyaluronic acid had the highest r-value, 0.456. A scoring system including albumin, collagen IV, and the longitudinal diameter of the spleen was established. The areas under the receiver operating characteristic curves (AUC) for this scoring system and the aspartate aminotransferase to platelet ratio index (APRI) in differentiating S3–4 from S0–2 were 0.79 (95% confidence interval (CI) 0.72–0.85) and 0.27 (95% CI 0.18–0.35), respectively. With a cut-off value of <3, the presence of significant fibrosis (S3–4) could be excluded by this scoring system with a negative predictive value of 86.1% and sensitivity of 86.8%. With a cut-off of >6, the presence of S3–4 fibrosis could be correctly identified with a positive predictive value of 73.6% and specificity of 87.6%. Using this scoring system, 53.4% of patients could be classified correctly and avoid liver biopsy.
Conclusions: The scoring system provides a simpler method to identify significant fibrosis (S3–4) in chronic hepatitis B patients.
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topic |
Chronic hepatitis B Liver fibrosis Non-invasive indexes Scoring system |
url |
http://www.sciencedirect.com/science/article/pii/S1201971214016968 |
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