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Table 3 Performance characteristics of best variables for diagnosis of fatty liver

From: Serum paraoxonase-1 as biomarker for improved diagnosis of fatty liver in dairy cows

Test/panel of tests

Sensitivity

Specificity

PPV

NPV

+LR

–LR

DOR

Accuracy

%

95% CI

%

95% CI

%

95% CI

%

95% CI

 

95% CI

 

95% CI

 

95% CI

%

PON

86.7

75.7–94.2

93.5

80.9 –97.5

92.8

81.0–98.3

87.7

72.5–94.4

12.2

4.1–36.7

0.1

0.0–0.2

93.1

21.8 –398.0

90.1

NEFA

92.8

81.3 –97.6

86.9

72.5–98.1

86.6

73.0–94.5

92.0

79.4–98.1

6.9

3.2–14.7

0.0

0.0–0.2

86.6

20.2–371.0

89.7

NEFA+PON

99.7

89.6–99.8

95.2

83.0–99.1

95.4

83.7–99.1

99.7

89.2–99.8

21.0

5.6–78.6

0.0

0.0 –1.1

8440.0

14.6–4871511.6

97.7

NEFA+BHBA

92.8

81.3–97.6

90.9

77.4–96.1

90.6

77.4–97.0

93.0

79.4–98.1

9.5

3.7–24.2

0.0

0.0 – 0.2

123.3

25.8–588.2

91.8

NEFA+BHBA+PON

97.6

87.9–99.5

95.4

83.8–98.6

95.3

83.3–99.2

97.6

85.9–99.8

20.0

5.1–77.4

0.0

0.0–0.1

819.0

71.4–9393.6

96.5

NEFA+BHBA+AST

92.5

79.0–98.1

90.2

75.9–96.8

90.2

77.4–97.0

93.0

78.5–98.0

9.7

3.8–24.7

0.0

0.0–0.2

166.5

28.6–966.1

91.6

NEFA+BHBA+AST+PON

97.5

86.8–99.5

95.4

83.5–98.6

95.1

83.3–99.2

97.6

85.2–99.8

19.4

5.0–75.3

0.0

0.0–0.1

722.0

62.7–8301.8

96.4

NEFA+BHBA+AST+LCAT

94.8

82.7–98.5

90.0

77.4–96.1

90.2

75.4–96.7

94.7

81.3–99.1

9.7

3.8–24.7

0.0

0.0–0.2

166.5

28.6–966.1

92.4

NEFA+BHBA+AST+LCAT+PON

97.4

86.8-99.5

95.0

83.5–98.6

95.0

81.7–99.1

97.4

84.9–99.8

19.4

5.0–75.3

0.0

0.0–0.1

722.0

62.7–8301.8

96.2

NEFA+BHBA+AST+LCAT+T.CHOL

97.4

86.8–99.5

95.0

83.5–98.6

95.0

81.7–99.1

97.4

84.9–99.8

19.4

5.0–75.3

0.0

0.0–0.1

722.0

62.7–8301.8

96.2

NEFA+BHBA+AST+LCAT+T.CHOL+PON

99.7

88.4–99.8

97.2

84.9–99.8

97.2

84.9–99.8

99.7

88.4–99.8

36.4

–5.7–230.2

0.0

0.0–1.2

13898.2

21.1–9140510.2

98.7

  1. NPV, negative predictive value; PPV, positive predictive value; +LR, positive likelihood ratio; –LR, negative likelihood ratio; DOR, diagnostic odd ratio.
  2. The cut-off values used for the tests were ≤ 53.22, 0.39, 1.28, 101.00, 3.31, 2.43 for PON (U/mL), NEFA (mmol/L), BHBA (mmol/L), AST (U/L), LCAT (470/390) and T.CHOL (mmol/L), respectively.