The CBVAI sums four domains of venous ageing into one score. It uses 10 biomarkers. A higher score means more of the panel sits outside its healthy range, with the most weight on the domains that matter most for this index.

See Indices for how every index is calculated.

Domains

DomainBiomarkersαd
Inflammation Burden (IB)hs-CRP, NLR, IL-6, TNF-α4
Fibro Remodeling (FR)TGF-β1, PINP, TIMP-14
Endothelial Dysfunction (ED)VEGF, ET-16
Vascular Wall Remodeling (VWR)MMP-91

αd is the fixed priority of each domain in this index.

Example

These are the results of one example patient, worked through step by step.

Biomarker Z-scores

Each result becomes a Z-score: (value − mean) / SD, with the mean and SD taken from the healthy range.

Inflammation Burden (IB)

BiomarkerHealthy rangeMeanSDDirectionValueZ|Z|
hs-CRP0.2–3.0 mg·L⁻¹1.60.7↑ Bad3.52.712.71
NLR1.0–3.0 ratio20.5↑ Bad3.22.402.40
IL-60.5–7.0 pg·mL⁻¹3.751.63↑ Bad9.83.713.71
TNF-α1.0–8.0 pg·mL⁻¹4.51.75↑ Bad12.74.694.69

Fibro Remodeling (FR)

BiomarkerHealthy rangeMeanSDDirectionValueZ|Z|
TGF-β11.0–8.0 ng·mL⁻¹4.51.75↑ Bad12.74.694.69
PINP20–80 ng·mL⁻¹5015↓ Bad9.7-2.692.69
TIMP-160–180 ng·mL⁻¹12030↓ Bad55.9-2.142.14

Endothelial Dysfunction (ED)

BiomarkerHealthy rangeMeanSDDirectionValueZ|Z|
VEGF30–250 pg·mL⁻¹14055Context305.63.013.01
ET-10.5–3.0 pg·mL⁻¹1.750.63↑ Bad4.64.524.52

Vascular Wall Remodeling (VWR)

BiomarkerHealthy rangeMeanSDDirectionValueZ|Z|
MMP-920–140 ng·mL⁻¹8030↑ Bad155.82.532.53

Domain scores

DomainMean |Z|dWdMean |Z|d × WdαdScore
IB3.380.260.8943.55
FR3.170.250.7843.13
ED3.770.291.1166.63
VWR2.530.200.5010.50
Total12.841.003.2713.81

The example patient's CBVAI is 13.81.

Endothelial Dysfunction adds the most to the score (6.63 of 13.81).

Notes

  • The mean and SD come from the healthy range, so a result inside the range has a |Z| of 2 or less.
  • The score has no fixed upper limit. Compare it over time for the same person, not between indices.
  • This page is general information, not medical advice. Discuss results with a clinician.