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. 2011 Feb;84(998):136–144. doi: 10.1259/bjr/28989463

Table 3. Diagnostic performance of MR defecography findings in the diagnosis of dyssynergic defecation.

Measurements TPRa TNRa FPRa FNRa Sensitivityb Specificityb PPVb NPVb Accuracyb
Impaired evacuation 18 7 23 0 100 (97–100) 23 (7–40) 44 (27–60) 100 (93–100) 52 (37–67)
Abnormal ARA-change 9 29 1 9 50 (24–76) 97 (89–100) 90 (66–100) 76 (61–91) 79 (67–92)
Paradoxical sphincter contraction 15 26 4 3 83 (63–100) 87 (73–100) 79 (58–100) 90 (77–100) 85 (74–96)
ARA+paradoxical sphincter contraction 17 26 4 1 94 (81–100) 87 (73–100) 81 (62–100) 96 (87–100) 90 (80–99)

Data are results from the consensus reading. Numbers in parentheses are 95% confidence intervals.

ARA, anorectal angle; ARA-change, calculated as [(ARA at straining)–(ARA at rest)]; FNR, false-negative results; FPR, false-positive results; NPV, negative predictive value; PPV, positive predictive value; TNR, true-negative results; TPR, true-positive results.

aNumbers are absolute numbers of patients.

bNumbers are percentages.