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. 2026 Jun 18;17:1694247. doi: 10.3389/fmicb.2026.1694247

Table 2.

Detection efficacy of Mycobacterium tuberculosis identification by nucleic acid-based MALDI-TOF MS compared with MGIT 960 culture (N = 100).

A. Contingency
MALDI-TOF MS result MGIT 960 culture Total
Positive Negative
Positive 65 12 77
Negative 2 21 23
Total 67 33 100
B. Performance metrics
Metric Value 95% confidence interval
Sensitivity 97.01% 89.63–99.64%
Specificity 63.64% 45.12–79.60%
PPV 84.42% 74.05–91.71%
NPV 91.30% 71.96–98.93%
Accuracy 86.00% 77.63–92.13%
Kappa (κ) 0.619 0.454–0.784

Statistical test: McNemar’s χ2 = 15.625, p < 0.001.

PPV, positive predictive value; NPV, negative predictive value. MGIT 960 culture was used as the gold standard. Confidence intervals were calculated using the Wilson score method. Analysis focused on MTB detection specifically (n = 100 patients; 67 MGIT 960 positive, 77 MALDI-TOF MS positive including 71 MTB and 6 NTM).