Table 3. Positive ratios of TCS, cardiac MIBG scintigraphy and olfactory function tests for the PD vs. PSP and PD vs. MSA groups.
(A) PD vs. PSP | ||||||||
Combinations of test results | PD (n = 101) | PSP (n = 17) | p-value | PD diagnosis | ||||
option | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) | ||||
1 | SN+ (≥0.16 cm2) | 34 (53.1%) | 0 (0%) | 0.003 | 53.1 | 100 | 100 | 23.1 |
MIBG+ (≤2.0) | 71 (70.3%) | 2 (11.8%) | <0.001 | 70.3 | 88.2 | 97.3 | 33.3 | |
OE+ (≤4) | 59 (58.4%) | 5 (29.4%) | 0.026 | 58.4 | 70.6 | 92.2 | 22.2 | |
2 | At least one positive result from 3 tests | 87(86.1%) | 7 (41.2%) | <0.001 | 86.1 | 58.8 | 92.6 | 41.7 |
3 | At least two positive results from 3 tests | 60 (59.4%) | 0 (0%) | <0.001 | 59.4 | 100 | 100 | 29.3 |
(SN or MIBG) and OE | 52(51.5%) | 0(0%) | <0.001 | 51.5 | 100 | 100 | 25.8 | |
(OE or MIBG) and SN | 29(45.3%) | 0(0%) | 0.009 | 45.3 | 100 | 100 | 20.5 | |
(OE or SN) and MIBG | 56(55.4%) | 0(0%) | <0.001 | 55.4 | 100 | 100 | 27.4 | |
4 | Positive results for all 3 tests | 17(26.6%) | 0(0%) | 0.078 | 26.6 | 100 | 100 | 16.1 |
(B) PD vs. MSA | ||||||||
Combinations of test results | PD (n = 101) | MSA (n = 21) | p-value | PD diagnosis | ||||
option | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) | ||||
1 | SN+ (≥0.16 cm2) | 34 (53.1%) | 2 (13.3%) | 0.005 | 53.1 | 86.7 | 94.4 | 30.2 |
MIBG+ (≤2.0) | 71 (70.3%) | 3 (14.3%) | <0.001 | 70.3 | 85.7 | 95.9 | 37.5 | |
OE+ (≤4) | 59 (58.4%) | 4 (19%) | 0.001 | 58.4 | 81.0 | 93.7 | 28.8 | |
2 | At least one positive result from 3 tests | 87(86.1%) | 7(33.3%) | <0.001 | 86.1 | 66.7 | 92.6 | 50 |
3 | At least two positive results from 3 tests | 60(59.4%) | 2(9.5%) | <0.001 | 59.4 | 90.5 | 96.8 | 31.7 |
(SN or MIBG) and OE | 52(51.5%) | 1(4.8%) | <0.001 | 51.5 | 95.2 | 98.1 | 29.0 | |
(OE or MIBG) and SN | 29(45.3) | 1(6.7%) | 0.006 | 45.3 | 93.3 | 96.7 | 28.6 | |
(OE or SN) and MIBG | 56(55.4%) | 2(9.5%) | <0.001 | 55.4 | 90.5 | 96.6 | 29.7 | |
4 | Positive results for all 3 tests | 17(26.6%) | 0(0%) | 0.024 | 26.6 | 100 | 100 | 24.2 |
SN+ = substantia nigra hyperechogenicity positive; MIBG+ = cardiac MIBG scintigraphy positive; OE+ = olfactory testing positive; PPV = positive predictive value; NPV = negative predictive value.