Table 3.
Accuracy of Metagenomic Next Generation Sequencing and Culture for Spinal Tuberculosis Compared with Composite Reference Standard
| Test | CRS | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) | AUC | ||
|---|---|---|---|---|---|---|---|---|
| Positive | Negative | |||||||
| mNGS | Positive | 79 | 0 | 71.2 (61.8–79.4) | 100.0 (96.1–100.0) | 100.0 (95.4–100.0) | 74.2 (65.5–81.6) | 0.86 (0.80–0.90) |
| Negative | 32 | 92 | ||||||
| Culture | Positive | 81 | 0 | 73.0 (63.7–81.0)a | 100.0 (96.1–100.0) | 100.0 (95.6–100.0) | 75.4 (66.8–82.8)a | 0.86 (0.81–0.91)a |
| Negative | 30 | 92 | ||||||
Notes: Compared mNGS and culture, aP>0.05.
Abbreviations: CRS, composite reference standard; PPV, positive predictive value; NPV, negative predictive value; AUC, area under the curve; mNGS, metagenomic next generation sequencing.