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Table 4 Sensitivity, specificity, NPV, PPV, and Accuracy for the diagnosis of lung metastases per patient with different techniques

From: Incorporation of CAD (computer-aided detection) with thin-slice lung CT in routine 18F-FDG PET/CT imaging read-out protocol for detection of lung nodules

 

R1

R2

R3

FDG PET (all values in percentages) (95% confidence interval in brackets)

Sensitivity

47 (28, 66)

50 (31, 69)

47 (28, 66)

Specificity

96 (88, 99)

96 (88, 99)

97 (90, 100)

NPV*

81 (71, 89)

82 (72, 89)

81 (71, 89)

PPV*

82 (57, 96)

83 (59, 96)

88 (62, 98)

Accuracy*

81 (72, 88)

82 (73, 89)

82 (73, 89)

FDG PET/lCT (all values in percentages) (95% confidence interval in brackets)

Sensitivity

77 (58, 90)

80 (61, 92)

83 (65, 94)

Specificity

80 (69, 89)

80 (69, 89)

86 (75, 93)

NPV*

89 (78, 95)

90 (80, 96)

92 (83, 97)

PPV*

62 (45, 78)

63 (46, 78)

71 (54, 85)

Accuracy*

79 (70, 87)

80 (71, 87)

85 (76, 91)

FDG PET/dCT (all values in percentages) (95% confidence interval in brackets)

Sensitivity

100 (88, 100)

100 (88, 100)

100 (88, 100)

Specificity

57 (45, 69)

54 (42, 66)

59 (46, 70)

NPV*

100 (91, 100)

100 (91, 100)

100 (91, 100)

PPV*

50 (37, 63)

48 (35, 61)

51 (37, 64)

Accuracy*

70 (60, 79)

68 (58, 77)

71 (61, 80)

FDG PET/CAD (all values in percentages) (95% confidence interval in brackets)

Sensitivity

93 (78, 99)

97 (83, 100)

97 (83, 100)

Specificity

64 (52, 75)

64 (52, 75)

64 (52, 75)

NPV*

96 (85, 99)

98 (88, 100)

98 (88, 100)

PPV*

53 (39, 67)

54 (40, 67)

54 (40, 67)

Accuracy*

73 (63, 81)

74 (64, 82)

74 (64, 82)

 

FDG PET

PET/lCT

PET/dCT

PET/CAD

All three readers combined (all values in percentages) (95% confidence interval in brackets)

Sensitivity

48 (37, 59)

80 (70, 88)

100 (96, 100)

96 (89, 99)

Specificity

96 (93, 98)

82 (76, 87)

57 (50, 63)

64 (57, 71)

NPV*

81 (76, 86)

91 (85, 94)

100 (97, 100)

97 (93, 99)

PPV*

84 (71, 93)

65 (56, 74)

50 (42, 57)

53 (45, 61)

Accuracy*

82 (77, 86)

81 (76, 86)

70 (64, 75)

74 (68, 79)

  1. *based on the 30% prevalence observed in this sample
  2. R1: Reader 1, R2: Reader 2, R3: Reader 3
  3. FDG PET 18F-fluorodeoxyglucose positron emission tomography
  4. lCT low-dose computed tomography, dCT diagnostic lung CT, CAD Computer-aided detection