Table 2. The diagnostic value of combined Index in Training and Validation group.
Group | Factor | AUC-ROC(95%CI) | Sensitivity | Specificity | Accuracy | PPV | NPV | +LR | -LR | |
---|---|---|---|---|---|---|---|---|---|---|
PC VS non-PC | Training Group | CA19-9 | 0.895(0.838-0.952) | 0.816 | 0.933 | 0.892 | 0.838 | 0.916 | 12.179 | 0.197 |
Index1(miR-21,MIC-1,CA19-9) | 0.968(0.947-0.989)** | 0.895 | 0.909 | 0.904 | 0.810 | 0.949 | 9.835 | 0.116 | ||
Index2(miR-25,MIC-1,CA19-9) | 0.967(0.945-0.989)** | 0.895 | 0.915 | 0.908 | 0.829 | 0.949 | 10.529 | 0.115 | ||
Blinded validation Group | CA19-9 | 0.862(0.809-0.915) | 0.720 | 0.859 | 0.818 | 0.678 | 0.881 | 5.106 | 0.326 | |
Index1(miR-21,MIC-1,CA199) | 0.915(0.878-0.953)* | 0.878* | 0.874 | 0.875 | 0.742 | 0.945 | 6.968 | 0.140 | ||
Index2(miR-25,MIC-1,CA199) | 0.920(0.883-0.957)* | 0.841 | 0.919 | 0.896* | 0.812 | 0.933 | 10.383 | 0.173 | ||
PC VS HC | Training Group | CA19-9 | 0.914(0.861-0.968) | 0.816 | 1.000 | 0.911 | 1.000 | 0.854 | + | 0.184 |
Index1(miR-21,MIC-1,CA19-9) | 0.990(0.981-1.000)** | 0.895 | 0.988 | 0.943 | 0.986 | 0.910 | 74.583 | 0.106 | ||
Index2(miR-25,MIC-1,CA19-9) | 0.984(0.970-0.998)** | 0.895 | 0.988 | 0.943 | 0.986 | 0.910 | 74.583 | 0.106 | ||
Blinded validation Group | CA19-9 | 0.908(0.860-0.957) | 0.720 | 0.955 | 0.841 | 0.937 | 0.785 | 16.000 | 0.293 | |
Index1(miR-21,MIC-1,CA19-9) | 0.972(0.946-0.999)** | 0.878* | 0.989 | 0.935* | 0.986 | 0.897 | 79.818 | 0.123 | ||
Index2(miR-25,MIC-1,CA19-9) | 0.967(0.938-0.995)** | 0.841 | 1.000* | 0.924* | 1.000 | 0.871 | +□ | 0.159 | ||
PC VS BPD a | Training Group | CA19-9 | 0.874(0.806-0.941) | 0.816 | 0.773 | 0.806 | 0.925 | 0.548 | 3.595 | 0.238 |
Index1(miR-21,MIC-1,CA19-9) | 0.938(0.893-0.983)* | 0.895 | 0.818 | 0.878 | 0.944 | 0.692 | 4.918 | 0.128 | ||
Index2(miR-25,MIC-1,CA19-9) | 0.939(0.894-0.984)* | 0.895 | 0.818 | 0.878 | 0.944 | 0.692 | 4.918 | 0.128 | ||
Blinded validation Group | CA19-9 | 0.821(0.749-0.894) | 0.720 | 0.800 | 0.750 | 0.855 | 0.635 | 3.600 | 0.350 | |
Index1(miR-21,MIC-1,CA19-9) | 0.889(0.831-0.947)* | 0.878* | 0.860 | 0.871* | 0.911 | 0.811 | 6.271 | 0.142 | ||
Index2(miR-25,MIC-1,CA19-9) | 0.865(0.799-0.930) | 0.841 | 0.860 | 0.848* | 0.908 | 0.768 | 6.007 | 0.185 | ||
PC VS other gastrointestinal cancer | Training Group | CA19-9 | 0.876(0.813-0.939) | 0.816 | 0.883 | 0.846 | 0.899 | 0.791 | 6.974 | 0.208 |
Index1(miR-21,MIC-1,CA19-9) | 0.948(0.914-0.981)* | 0.895 | 0.817 | 0.860 | 0.861 | 0.860 | 4.891 | 0.129 | ||
Index2(miR-25,MIC-1,CA19-9) | 0.954(0.923-0.985)** | 0.895 | 0.850 | 0.875 | 0.883 | 0.864 | 5.967 | 0.124 | ||
Blinded validation Group | CA19-9 | 0.829(0.761-0.897) | 0.720 | 0.767 | 0.739 | 0.808 | 0.667 | 3.090 | 0.365 | |
Index1(miR-21,MIC-1,CA19-9) | 0.853(0.791-0.915) | 0.878* | 0.717 | 0.810 | 0.809 | 0.811 | 3.102 | 0.170 | ||
Index2(miR-25,MIC-1,CA19-9) | 0.886(0.831-0.940) | 0.841 | 0.850 | 0.845* | 0.885 | 0.797 | 5.607 | 0.187 |
BPD: Benign pancreatic disease. In the Training group only chronic pancreatitis patients were included. In the Blinded validation group patientswith both chronic pancreatitis and benign pancreatic tumor were included.
P <0.05 when compared with CA19-9;
P<0.005 when compared.
Non-PC group included healthy controls, chronic pancreatitis, benign pancreatic tumor, colorectal cancer, gastric cancer and liver cancer; Abbreviation:PPV, Positive predictive value; NPV, Negative predictive value;+LR, Positive Likelihood Ratio; -LR, Negative Likelihood Ratio.