The Cardiovascular
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Fibrotic NASH Index (FNI)

Screens for probable fibrotic NASH using AST, HbA1c, and HDL cholesterol.

Fibrotic NASH Index (FNI)
Aspartate aminotransferase (AST)
U/L
Hemoglobin A1c
%
HDL cholesterol
Complete the fields above to see the result.

When to use

  • Screening for probable fibrotic NASH in primary care or diabetes clinics using 3 routine labs.

Formula

FNI = e^xb / (1+e^xb), where xb = -10.33 + 2.54*ln(AST U/L) + 3.86*ln(HbA1c %) - 1.66*ln(HDL mg/dL).

Pearls and pitfalls

  • Cut-off <0.10 rules out and >=0.33 rules in fibrotic NASH; values in between are indeterminate.

References

  1. Tavaglione F, et al. Clin Gastroenterol Hepatol. 2023;21(6):1523-1532.e1.