Table 2.
Extrapolation of estimated sensitivity and specificity differences applied to a hypothetical cohort of 1000 lesionsa.
|
|
Sensitivitya | Fixed specificityb | Fixed sensitivityb | Specificityc | ||||||||
|
|
True positive, n | False negative, n | False positive, n | True negative, n | True positive, n | False negative, n | False positive, n | True negative, n | ||||
| 10% prevalence | —d | — | 180 | 720 | 80 | 20 | — | — | ||||
|
|
VIe | 79 | 21 | — | — | — | — | 207 | 693 | |||
|
|
VI + Df | 93 | 7 | — | — | — | — | 9 | 891 | |||
| 17% prevalence | — | — | 166 | 664 | 136 | 34 | — | — | ||||
|
|
VI | 134 | 36 | — | — | — | — | 191 | 639 | |||
|
|
VI + D | 158 | 12 | — | — | — | — | 8 | 822 | |||
| 53% prevalence | — | — | 94 | 376 | 424 | 106 | — | — | ||||
|
|
VI | 419 | 111 | — | — | — | — | 108 | 362 | |||
|
|
VI + D | 493 | 37 | — | — | — | — | 5 | 465 | |||
aThe dermoscopy test had a sensitivity of 79%, and the visual inspection and dermoscopy test had a sensitivity of 93%.
bBoth tests had a fixed specificity and fixed sensitivity of 80%.
cThe dermoscopy test had a specificity of 77%, and the visual inspection and dermoscopy test had a specificity of 99%.
dNot applicable.
eVI: visual inspection.
fVI + D: visual inspection and dermoscopy.