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. 2026 Aug 24;131:106442. doi: 10.1016/j.ebiom.2026.106442

Table 3.

Predictive performance of ULM compared with clinically available methods.

Method Individual measurements
Changes between measurements
Combined measurements
1 2 3 1 → 2 2 → 3 1 → 3 1 & 2 1 & 2 & 3
Accuracy (%)
 ULM 75 75 65 85 85 65 80 85
 B-mode size measurement 60 60 60 60 60 60 60 60
 B-mode image 60 60 60 65 75 60 60 75
 Contrast-mode MIP 65 60 65 75 75 65 75 75
 Histological CD31 masks 75
AUC
 ULM 0.73 0.72 0.47 0.85 0.80 0.69 0.85 0.83
 B-mode size measurement 0.31 0.35 0.53 0.21 0.38 0.32 0.34 0.29
 B-mode image 0.00 0.26 0.13 0.13 0.75 0.21 0.25 0.76
 Contrast-mode MIP 0.57 0.13 0.44 0.79 0.63 0.54 0.77 0.73
 Histological CD31 masks 0.83
Sensitivity (%)
 ULM 50 63 25 75 88 38 75 75
 B-mode size measurement 0 0 0 0 0 0 0 0
 B-mode image 0 0 0 13 75 0 0 75
 Contrast-mode MIP 38 13 25 50 63 38 50 50
 Histological CD31 masks 38
Specificity (%)
 ULM 92 83 92 92 83 83 83 92
 B-mode size measurement 100 100 100 100 100 100 100 100
 B-mode image 100 100 100 100 75 100 100 75
 Contrast-mode MIP 83 92 92 92 83 83 92 92
 Histological CD31 masks 100
p-value of DeLong's test—AUC of ULM compared to
 B-mode size measurement 0.05 0.02 0.77 <0.01 <0.01 0.10 0.01 <0.01
 B-mode image <0.01 0.02 0.05 <0.01 0.90 <0.01 <0.01 0.81
 Contrast-mode MIP 0.25 <0.01 0.90 0.47 0.31 0.33 0.37 0.33
 Histological CD31 masksa 0.55 0.59 0.04 0.93 0.88 0.28 0.93 1.00

Predictive performance was quantified via accuracy, AUC, sensitivity, and specificity of each method's final model. Additionally, the AUC of the final ULM model was compared with those of the comparative methods using DeLong's test.

a

ULM-derived models were compared with the histological CD31 masks obtained before the start of NAC.