Table 2. Diagnostic performance of time-dependent diffusion MRI–derived microstructural parameters for distinguishing benign and cancerous endometrial lesions.
Characteristic | AUC | Cutoff | Sensitivity, % | Specificity, % | PPV, % | NPV, % |
---|---|---|---|---|---|---|
Cellularity, cells × 10-3/µm2 | 0.86 [0.79, 0.93] | 0.55 | 74.2 (46/62) [63.3, 85.1] | 91.2 (62/68) [84.4, 97.9] | 88.5 (46/52) [79.8, 97.1] | 79.5 (62/78) [70.5, 88.4] |
V in | 0.83 [0.75, 0.90] | 0.38 | 93.5 (58/62) [89.8, 100] | 66.2 (45/68) [54.9, 77.4] | 71.6 (58/81) [62.2, 81.7] | 91.8 (45/49) [86.9, 100] |
Diameter, µm | 0.81 [0.74, 0.88] | 0.31 | 96.8 (60/62) [92.4, 100] | 58.8 (40/68) [47.1, 70.5] | 68.2 (60/88) [58.5, 77.9] | 95.2 (40/42) [88.8, 100] |
Dex, µm2/msec | 0.74 [0.65, 0.82] | 0.42 | 85.5 (53/62) [76.7, 94.3] | 60.3 (41/68) [48.7, 71.9] | 66.2 (53/80) [55.9, 76.6] | 82.0 (41/50) [71.4, 92.6] |
Diffusivity at 0 Hz, µm2/msec | 0.71 [0.62, 0.80] | 0.48 | 71.0 (44/62) [59.7, 82.3] | 69.1 (47/68) [58.1, 80.1] | 67.7 (44/65) [56.3, 79.1] | 72.3 (47/65) [61.4, 83.2] |
Cellularity index, µm-1 | 0.70 [0.60, 0.79] | 0.43 | 95.2 (59/62) [89.8, 100] | 57.4 (39/68) [45.6, 69.1] | 67.0 (59/88) [57.2, 76.9] | 92.9 (39/42) [85.1, 100] |
Diffusivity at 17 Hz, µm2/msec | 0.67 [0.58, 0.77] | 0.48 | 67.7 (42/62) [56.1, 79.4] | 69.1 (47/68) [58.1, 80.1] | 66.7 (42/63) [55.0, 78.3] | 70.1 (47/67) [59.2, 81.1] |
Diffusivity at 33 Hz, µm2/msec | 0.62 [0.53, 0.72] | 0.47 | 61.3 (38/62) [49.2, 73.4] | 61.8 (42/68) [50.2, 73.3] | 59.4 (38/64) [47.3, 71.4] | 63.6 (42/66) [52.0, 75.2] |
The values in parentheses are numerators and denominators, and the values in brackets are 95% confidence intervals.
AUC = area under the receiver operating characteristic curve, PPV = positive predictive value, NPV = negative predictive value, vin = intracellular volume fraction, Dex = extracellular diffusivity