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. 2024 Apr 22;102(9):e209357. doi: 10.1212/WNL.0000000000209357

Table 2.

Sensitivity and Specificity of sNfL Elevations Above the 95th Percentile Thresholds

Gd+ lesion occurrence
Gd+ No Gd+
Peak sNfL
 Above 19.6 pg/mL 17 8 PPV: 67.5%
 Below 19.6 pg/mL 44 90 NPV: 67.7%
Sensitivity: 27.9% Specificity: 91.8%
Peak sNfL % change
 Above 68.8% 26 17 PPV: 59.9%
 Below 68.8% 35 81 NPV: 70.4%
Sensitivity: 42.6% Specificity: 82.7%

Sensitivity: the proportion of people with Gd+ who were above the specified sNfL threshold compared with the total number of people who developed Gd+.

Specificity: the proportion of people with no Gd+ who were below the specified threshold of sNfL compared with the total number of people with no Gd+.

PPV: positive predictive value or probability that an elevation in sNfL above the identified threshold will have Gd+ lesions.

NPV: negative predictive value or the probability that the absence of an elevation in sNfL above the identified threshold will have Gd+ lesions.

Gd+ = gadolinium-enhancing; sNfL = serum neurofilament light.