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. 2017 Nov 6;74(12):1492–1501. doi: 10.1001/jamaneurol.2017.2814

Table 2. ROC Analysis of CSF Aβs for Distinguishing Abnormal From Normal Visual Reading Assessments of Flutemetamol F 18–Labeled PET.

Immunoassaya AUC (95% CI) Cutoff (Cutoff for Mixture Modeling Analysis)b Youden J Index Sensitivity Specificity
Classic Aβ42-INNOTEST 0.92 (0.89-0.95) ≤548.00 (524.00) 0.78 0.96 0.82
Classic INNOTEST Aβ42:Aβ40 ratio 0.92 (0.88-0.95) ≤0.06 (0.05) 0.73 0.91 0.82
Classic INNOTEST Aβ42:T-tau ratio 0.94 (0.91-0.97)c ≤1.79 (1.23) 0.84 0.96 0.87
Classic INNOTEST Aβ42:P-tau ratio 0.95 (0.92-0.98)c,d ≤10.30 (8.11) 0.83 0.95 0.89
Modified Aβ42-INNOTEST 0.87 (0.83-0.91)e ≤1091.00 (1129.00) 0.67 0.92 0.74
Modified INNOTEST Aβ42:Aβ40 ratio 0.93 (0.90-0.96)f ≤0.12 (0.10) 0.79 0.92 0.87
Modified INNOTEST Aβ42:T-tau ratio 0.94 (0.91-0.97)g ≤3.30 (2.38) 0.83 0.96 0.88
Modified INNOTEST Aβ42:P-tau ratio 0.95 (0.92-0.97)g ≤19.60 (16.50) 0.82 0.95 0.87
Aβ42-EI 0.88 (0.84-0.92)e ≤449.00 (479.00) 0.63 0.82 0.80
Aβ42-EI:Aβ40 ratio 0.93 (0.90-0.96)h ≤0.10 (0.10) 0.81 0.93 0.88
Aβ42-EI:T-tau ratio 0.94 (0.90-0.97)h ≤1.44 (1.11) 0.81 0.96 0.86
Aβ42-EI:P-tau ratio 0.94 (0.91-0.96)i ≤9.59 (7.26) 0.81 0.95 0.87
Aβ42-MSD 0.89 (0.85-0.93)j ≤506.00 (500.00) 0.70 0.94 0.76
Aβ42-MSD:Aβ40 ratio 0.95 (0.93-0.98)k ≤0.08 (0.09) 0.86 0.96 0.89
Aβ42-MSD:T-tau ratio 0.94 (0.91-0.97)l ≤1.39 (1.12) 0.85 0.96 0.89
Aβ42-MSD:P-tau ratio 0.95 (0.92-0.98)k ≤9.89 (7.84) 0.83 0.96 0.87

Abbreviations: Aβ, amyloid β; AUC, area under the curve; CSF, cerebrospinal fluid; EI, EUROIMMUN; MSD, Meso Scale Discovery; PET, positron emission tomography; P-tau, phosphorylated tau; ROC, receiver operating characteristic; T-tau, total tau.

a

Cerebrospinal fluid levels of T-tau and P-tau were quantified with EUROIMMUN and INNOTEST enzyme-linked immunosorbent assay kits, respectively. These tau values and Aβ42 values from the 5 different assays (classic and modified INNOTESTs, fully automated Lumipulse, EI, and MSD) were used for the calculations of the CSF Aβ42:tau ratios.

b

Cutoffs for Aβ42 are given in pg/mL.

c

P ≤ .01 compared with classic INNOTEST Aβ42:Aβ40 ratio.

d

P ≤ .05 compared with classic Aβ42-INNOTEST level.

e

P ≤ .001 compared with classic Aβ42-INNOTEST level.

f

P ≤ .01 compared with modified Aβ42-INNOTEST level.

g

P ≤ .001 compared with modified Aβ42-INNOTEST level.

h

P ≤ .01 compared with Aβ42-EI level.

i

P ≤ .001 compared with Aβ42-EI level.

j

P ≤ .01 compared with classic Aβ42-INNOTEST level.

k

P ≤ .001 compared with Aβ42-MSD level.

l

P ≤ .05 compared with Aβ42-MSD level.