Table 2.
1p/19q FISH criteria | 1p/19q FISH relative to 1p/19q LOH | |||
---|---|---|---|---|
% Sensitivity (95% CI) | % Specificity (95% CI) | % PPV (95% CI) | % NPV (95% CI) | |
Original FISH criteria | 98.5 (91.7—100.0) | 56.5 (41.1—71.0) | 76.2 (65.6—84.8) | 96.3 (81.0—99.9) |
Modified FISH criteria | 93.9 (85.0—98.3) | 67.4 (51.9—80.5) | 80.3 (69.6—88.5) | 88.6 (73.3—96.8) |
One hundred eleven grade II and III oligodendrogliomas were analyzed for 1p/19q codeletion by both FISH and LOH assays. Relative to 1p/19q LOH testing, increasing the stringency of FISH ratio cutoff criteria from < 0.87 (Original) to < 0.75 (Modified) improved the specificity and positive predictive value (PPV) of FISH, at the cost of reduced sensitivity and negative predictive value (NPV). CI = confidence interval; FISH = fluorescence in situ hybridization; LOH = loss of heterozygosity.