(2015) Critical thresholds of liver function parameters for ketosis prediction in dairy cows using receiver operating characteristic (ROC) analysis, Veterinary Quarterly, 35:3, 159-164, DOI: 10.1080/01652176.2015 Background: Fatty liver syndrome and ketosis are important metabolic disorders in high-producing cows during early lactation with fatty liver usually preceding ketosis. To date, parameters for early prediction of the risk of ketosis have not been investigated in China.Objective: To determine the predictive value of some parameters on the risk of ketosis in China. Animals and methods: In a descriptive study, 48 control and 32 ketotic Holstein Friesian cows were randomly selected from one farm with a serum b-hydroxybutyrate (BHBA) concentration of 1.20 mmol/L as cutoff point. The risk prediction thresholds for ketosis were determined by receiver operating characteristic (ROC) analysis.Results: In line with a high BHBA concentration, blood glucose concentration was significantly lower in ketotic cows compared to control animals (2.77 § 0.24 versus 3.34 § 0.03 mmol/L; P D 0.02). Thresholds were more than 0.76 mmol/L for nonesterified fatty acids (NEFA, with 65% sensitivity and 92% specificity), more than 104 U/L for aspartate aminotransferase (AST, 74% and 85%, respectively), less than 140 U/L for cholinesterase (CHE, 75% and 59%, respectively), and more than 3.3 mmol/L for total bilirubin (TBIL, 58% and 83%, respectively). There were significant correlations between BHBA and glucose (R D Conclusions: AST, CHE, TBIL and NEFA may be useful parameters for risk prediction of ketosis. Clinical importance: This study might be of value in addressing novel directions for future research on the connection between ketosis and liver dysfunction.À4