Table 2. Positive ratio of TCS, cardiac MIBG scintigraphy and olfactory function tests in the PD and APS groups.
A) Total patients (n = 139) | ||||||||
Combinations of test results | PD | APS | p-value | PD diagnosis | ||||
option | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) | ||||
1 | SN+ (≥0.16 cm2) | 34 (53.1%) | 2 (8.3%) | <0.001 | 53.1 | 91.7 | 94.4 | 42.3 |
MIBG+ (≤2.0) | 71 (70.3%) | 5 (13.2%) | <0.001 | 70.3 | 86.8 | 93.4 | 52.4 | |
OE+ (≤4) | 59 (58.4%) | 9 (23.7%) | <0.001 | 58.4 | 76.3 | 86.8 | 40.8 | |
2 | At least one positive result from 3 tests | 87 (86.1%) | 14 (36.8%) | <0.001 | 86.1 | 63.2 | 86.1 | 63.2 |
3 | At least two positive results from 3 tests | 60 (59.4%) | 2 (5.3%) | <0.001 | 59.4 | 94.7 | 96.8 | 46.8 |
(SN or MIBG) and OE | 52 (51.5%) | 1 (2.6%) | <0.001 | 51.5 | 97.4 | 98.1 | 43 | |
(OE or MIBG) and SN | 29 (45.3%) | 1 (4.2%) | <0.001 | 45.3 | 95.8 | 96.7 | 39.7 | |
(OE or SN) and MIBG | 56 (55.4%) | 2 (5.3%) | <0.001 | 55.4 | 94.7 | 96.6 | 44.4 | |
4 | Positive results for all 3 tests | 17 (26.6%) | 0 (0%) | <0.001 | 26.6 | 100 | 100 | 33.8 |
B) Early-stage patients (n = 40) | ||||||||
Combinations of test results | PD | APS | p-value | PD diagnosis | ||||
option | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) | ||||
1 | SN+ (≥0.16 cm2) | 12 (50.0%) | 1 (6.3%) | 0.004 | 50 | 93.8 | 92.3 | 55.6 |
MIBG+ (≤2.0) | 24 (57.1%) | 3 (12.5%) | <0.001 | 57.1 | 87.5 | 88.9 | 53.8 | |
OE+ (≤4) | 23 (54.8%) | 5 (20.8%) | 0.007 | 54.8 | 79.2 | 82.1 | 50 | |
2 | At least one positive result from 3 tests | 32 (76.2%) | 8 (33.3%) | 0.001 | 76.2 | 66.7 | 80 | 61.5 |
3 | At least two positive results from 3 tests | 21 (50%) | 1 (4.2%) | <0.001 | 50 | 95.8 | 95.5 | 52.3 |
(SN or MIBG) and OE | 20 (47.6%) | 0 (0%) | <0.001 | 47.6 | 100 | 100 | 52.2 | |
(OE or MIBG) and SN | 9 (37.5%) | 1 (6.3%) | 0.025 | 37.5 | 93.8 | 90 | 50 | |
(OE or SN) and MIBG | 19 (45.2%) | 1 (4.2%) | <0.001 | 45.2 | 95.8 | 95 | 51.7 | |
4 | Positive results for all 3 tests | 6 (25.0%) | 0 (0%) | 0.03 | 25 | 100 | 100 | 47.1 |
SN+ = substantia nigra hyperechogenicity positive; MIBG+ = cardiac MIBG scintigraphy positive; OE+ = olfactory testing positive