Table 2.
Expertise | Sensitivity% (95% CI) | Specificity% (95% CI) | NPV% (95% CI) | PPV% (95% CI) | Accuracy% (95% CI) | TP | TN | FP | FN | |
---|---|---|---|---|---|---|---|---|---|---|
(a) Per-patient | ||||||||||
All patients | Junior radiologist | 83.6 (77.5–88.6) | 96.6 (94.4–98.1) | 92.8 (90.3–94.7) | 91.9 (87.0–95.0) | 92.5 (90.1–94.5) | 158 | 398 | 14 | 31 |
Nuclear medicine | 81.0 (74.6–86.3) | 98.5 (96.9–99.5) | 91.9 (89.4–93.8) | 96.2 (92.0–98.3) | 93.0 (90.7–94.9) | 153 | 406 | 6 | 36 | |
Senior radiologist | 89.4 (84.1–93.4) | 98.5 (96.9–99.5) | 95.3 (93.1–96.9) | 96.6 (92.7–98.4) | 95.7 (93.7–97.2) | 169 | 406 | 6 | 20 | |
Patients referred for initial staging | Junior radiologist | 78.3 (66.7–87.3) | 98.6 (95.0–99.8) | 90.3 (85.6–93.6) | 96.4 (87.2–99.3) | 91.9 (87.4–95.2) | 54 | 140 | 2 | 15 |
Nuclear medicine | 76.8 (65.1–86.1) | 98.6 (95.0–99.8) | 89.7 (85.1–93.1) | 96.4 (86.9–99.1) | 91.5 (86.9–94.9) | 53 | 140 | 2 | 16 | |
Senior radiologist | 88.4 (78.4–94.9) | 99.3 (96.1–100) | 94.6 (90.2–97.1) | 98.4 (89.6–99.8) | 95.7 (92.1–98.0) | 61 | 141 | 1 | 8 | |
Patients referred after biochemical recurrence | Junior radiologist | 86.7 (79.3–92.2) | 95.6 (92.4–97.7) | 94.2 (91.1–96.2) | 89.7 (83.2–93.8) | 92.8 (89.8–95.2) | 104 | 258 | 12 | 16 |
Nuclear medicine | 83.3 (75.4–89.5) | 98.5 (96.3–99.6) | 93.0 (89.9–95.2) | 96.2 (90.4–98.5) | 93.9 (91.0–96.0) | 100 | 266 | 4 | 20 | |
Senior radiologist | 90.0 (83.2–94.7) | 98.6 (95.7–99.4) | 95.7 (92.7–97.4) | 95.6 (90.1–98.1) | 95.6 (93.1–97.4) | 108 | 265 | 5 | 12 | |
(b) Per-lesion | ||||||||||
All lesions | Junior radiologist (n = 518) | 51.5 (45.7–57.2) | 82.1 (76.1–87.2) | 52.1 (48.8–55.4) | 81.77 (76.5–88.1) | 63.5 (59.1–67.7) | 157 | 161 | 35 | 148 |
Nuclear medicine (n = 427) | 48.5 (42.8–54.3) | 88.9 (81.0–94.3) | 35.9 (33.0–39.0) | 93.1 (88.4–96.0) | 58.4 (53.4–63.3) | 148 | 88 | 11 | 157 | |
Senior radiologist (n = 454) | 63.3 (57.6–68.7) | 92.1 (86.0–96.2) | 51.1 (47.2–55.0) | 95.1 (91.3–97.2) | 71.8 (67.3–76.0) | 193 | 117 | 10 | 112 |
CI confidence interval, TP true positive, TN true negative, FP false positive, FN false negative