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.