Table 2. Predictive values for the identification of patients within 4.5 hours of symptom onset.
| Rating method |
Classification
|
Sensitivity (95% CI) | Specificity (95% CI) | PPV (95% CI) | NPV (95% CI) | Accuracy (95% CI) | |
|---|---|---|---|---|---|---|---|
| FLAIR-negative | FLAIR-positive | ||||||
| Model 1: visual rating (‘liberal') | No lesions | ‘Subtle' and ‘obvious' lesions | 0.58 (0.52–0.65) | 0.78 (0.72–0.85) | 0.80 (0.74–0.86) | 0.56 (0.50–0.62) | 0.66 (0.61–0.70) |
| Model 2: visual rating (‘conservative') | No and ‘subtle' lesions | ‘Obvious' lesions | 0.86 (0.82–0.91) | 0.48 (0.41–0.56) | 0.71 (0.66–0.76) | 0.70 (0.62–0.79) | 0.71 (0.67–0.75) |
| Model 3: quantitative (FLAIR rSI) | FLAIR rSI <1.0721 | FLAIR rSI >1.0721 | 0.47 (0.40–0.53) | 0.85 (0.80–0.91) | 0.82 (0.79–0.89) | 0.52 (0.46–0.58) | 0.61 (0.57–0.66) |
| Model 4: CART | Leafs A–D | Leaf E | 0.91 (0.87–0.94) | 0.47 (0.39–0.55) | 0.72 (0.67–0.77) | 0.78 (0.69–0.86) | 0.73 (0.69–0.77) |
| Model 5: CART | Leafs A, B, D | Leafs C, E | 0.62 (0.56–0.68) | 0.77 (0.71–0.84) | 0.80 (0.74–0.86) | 0.58 (0.51–0.65) | 0.68 (0.63–0.72) |
| Model 6: CART | Leafs A, C, D | Leafs B, E | 0.60 (0.54–0.66) | 0.65 (0.58–0.73) | 0.72 (0.66–0.78) | 0.52 (0.46–0.57) | 0.62 (0.57–0.67) |
| Model 7: CART | Leafs A, D | Leafs B, D, E | 0.33 (0.27–0.39) | 0.95 (0.92–0.98) | 0.90 (0.84–0.97) | 0.52 (0.46–0.57) | 0.57 (0.54–0.59) |
| Model 8: CART | Leafs A, C | Leafs B, D, E | 0.55 (0.49–0.62) | 0.66 (0.59–0.70) | 0.71 (0.64–0.77) | 0.50 (0.44–0.57) | 0.60 (0.55–0.65) |
| Model 9: CART | Leaf A | Leafs B, C, D, E | 0.27 (0.21–0.33) | 0.96 (0.93–0.99) | 0.91 (0.85–0.98) | 0.47 (0.42–0.53) | 0.55 (0.52–0.57) |
CART, Classification and Regression Tree; CI, confidence interval; FLAIR, fluid-attenuated inversion recovery; NPV, negative predictive value; PPV, positive predictive value; rSI, relative signal intensity.
Classification describes the algorithm applied to results from individual rating methods to binary groups of ‘FLAIR-positive' and ‘FLAIR-negative' patients
Accuracy describes the fraction of correctly classified patients.