Table 3. Diagnostic Performance of DCE-MRI Histogram Metrics (Post-NAC and %Change) to Predict Good Response after NAC.
Metrics | Post-NAC | %Change | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Mean | 25th Percentile | 50th Percentile | 75th Percentile | Skewness | Kurtosis | Mean | 25th Percentile | 50th Percentile | 75th Percentile | Skewness | Kurtosis | |
Ktrans | ||||||||||||
AUC | 0.78 | 0.76 | 0.77 | 0.77 | 0.61 | 0.70 | 0.73 | 0.72 | 0.73 | 0.73 | 0.59 | 0.54 |
CI | 0.60–0.96 | 0.57–0.94 | 0.58–0.95 | 0.58–0.95 | 0.43–0.79 | 0.53–0.87 | 0.54–0.92 | 0.53–0.91 | 0.54–0.91 | 0.54–0.91 | 0.40–0.77 | 0.34–0.75 |
Sensitivity | 0.75 | 0.58 | 0.75 | 0.75 | 0.92 | 0.92 | 0.67 | 0.67 | 0.67 | 0.67 | 0.92 | 0.58 |
Specificity | 0.81 | 0.93 | 0.78 | 0.81 | 0.44 | 0.56 | 0.85 | 0.81 | 0.85 | 0.81 | 0.44 | 0.59 |
p value | 0.002* | 0.007* | 0.005* | 0.005* | 0.223 | 0.021* | 0.017* | 0.022* | 0.016* | 0.015* | 0.362 | 0.677 |
Cutoff | 0.11 | 0.04 | 0.10 | 0.14 | 0.21 | −0.81 | −59.69 | −63.26 | −60.14 | −59.60 | −35.12 | −17.91 |
Kep | ||||||||||||
AUC | 0.78 | 0.81 | 0.81 | 0.80 | 0.76 | 0.75 | 0.70 | 0.73 | 0.69 | 0.69 | 0.69 | 0.69 |
CI | 0.63–0.93 | 0.67–0.94 | 0.67–0.95 | 0.66–0.95 | 0.59–0.93 | 0.57–0.93 | 0.54–0.86 | 0.58–0.89 | 0.53–0.86 | 0.53–0.86 | 0.5–0.87 | 0.49–0.9 |
Sensitivity | 0.92 | 1 | 1 | 0.92 | 0.58 | 0.58 | 1 | 1 | 1 | 0.92 | 0.67 | 0.58 |
Specificity | 0.56 | 0.59 | 0.59 | 0.59 | 0.89 | 0.89 | 0.48 | 0.52 | 0.48 | 0.52 | 0.78 | 0.85 |
p value | < 0.001* | < 0.001* | < 0.001* | < 0.001* | 0.002* | 0.006* | 0.015* | 0.004* | 0.020* | 0.020* | 0.048* | 0.065 |
Cutoff | 0.37 | 0.23 | 0.34 | 0.47 | 0.75 | 0.01 | −16.92 | −23.02 | −19.32 | −32.60 | 38.51 | −102.36 |
Ve | ||||||||||||
AUC | 0.43 | 0.61 | 0.42 | 0.45 | 0.70 | 0.61 | 0.53 | 0.63 | 0.56 | 0.50 | 0.55 | 0.59 |
CI | 0.22–0.64 | 0.40–0.82 | 0.20–0.63 | 0.25–0.66 | 0.52–0.88 | 0.39–0.83 | 0.33–0.73 | 0.44–0.83 | 0.36–0.76 | 0.30–0.70 | 0.34–0.77 | 0.38–0.79 |
Sensitivity | 0.50 | 0.50 | 0.50 | 0.50 | 0.50 | 0.50 | 0.58 | 0.75 | 0.58 | 0.58 | 0.33 | 0.33 |
Specificity | 0.65 | 0.81 | 0.65 | 0.65 | 0.88 | 0.81 | 0.58 | 0.54 | 0.58 | 0.58 | 0.88 | 0.88 |
p value | 0.505 | 0.314 | 0.442 | 0.643 | 0.029* | 0.327 | 0.774 | 0.166 | 0.552 | > 0.999 | 0.615 | 0.406 |
Cutoff | 0.51 | 0.29 | 0.50 | 0.62 | 0.75 | 0.24 | −13.71 | −12.58 | −13.85 | −9.20 | 130.61 | −334.69 |
Optimal threshold was chosen according to Youden index. *Statistically significant differences (p < 0.05). %change = ([post-NAC values − pre-NAC values] / pre-NAC values) × 100.
AUC = area under ROC curve, CI = confidence interval, ROC = receiver operating characteristic