Summary of imaging techniques for evaluation of liver stiffness in patients with NAFLD

NMR-based techniques
End-pointAUROCCutoff (kPa)Diagnostic accuracy (%)Study population, reference
2D MRE
AF0.93–0.963.6–4.8Se 85-Sp 85; PPV 71-NPV 93628 NAFLD, [77, 113]
Cirrhosis0.9> 4.1Se 86-Sp 93; PPV 53-NPV 98384 NAFLD, [77]
3D MRE
  – 40HzAF0.982.43Se 100-Sp 94; PPV 72-NPV 100100 NAFLD, [114]
  – 60Hz0.923.4
  – 40HzCirrhosis0.993.2Se 86-Sp 96; PPV 81-NPV 97
  – 60Hz0.984
US-based techniques
End-pointAUROCCutoff (kPa)Diagnostic accuracy (%)Study population, reference
TE (Fibroscan®)
  - M ProbeAF0.877.6–8Se 89-Sp 77; PPV 43-NPV 951, 540 NAFLD, [77]
  - XL Probe0.865.7–9.3Se 75-Sp 74; PPV 43-NPV 95579 NAFLD, [77]
  - M ProbeCirrhosis0.9210.3–11.3Se 87-Sp 86; PPV 46-NPV 981, 362 NAFLD, [77]
  - XL Probe0.947.2–16Se 84-Sp 80; PPV 39-NPV 98654 NAFLD, [77]
ARFI
SF0.89Se 80-Sp 85723 NAFLD, [136]
2D-SWE
SF0.859.2156 NAFLD, [138]
AF0.89> 8.3 < 10.7Se 71-Sp 90291 NAFLD, [139]
Cirrhosis0.9113.5156 NAFLD, [138]
0.88> 10.5Se 90-Sp 72291 NAFLD, [139]

AF (F3); Cirrhosis (F4); significant fibrosis: 4 > F ≥ 2