Table 2. Sensitivity, specificity and reducible biopsies for different PSA, PSAD, F/T ratio and PSATZ values in 656 patients.
Number of biopsies | Number of cancer | Sensitivity | Specificity | Positive predictive value | Negative predictive value | Reducible biopsies | |
---|---|---|---|---|---|---|---|
PSA (ng/mL) greater than | |||||||
3.0 | 656 | 172 | 1.000 | 0.017 | 0.265 | 1.000 | 1.22% |
4.0 | 567 | 168 | 0.977 | 0.176 | 0.265 | 0.955 | 13.5% |
5.0 | 523 | 154 | 0.895 | 0.238 | 0.294 | 0.865 | 20.2% |
6.0 | 406 | 128 | 0.744 | 0.426 | 0.315 | 0.824 | 38.1% |
7.0 | 301 | 118 | 0.686 | 0.622 | 0.392 | 0.848 | 54.1% |
8.0 | 179 | 76 | 0.442 | 0.787 | 0.425 | 0.799 | 72.7% |
9.0 | 74 | 40 | 0.233 | 0.930 | 0.541 | 0.773 | 88.7% |
F/T ratio less than | |||||||
0.10 | 82 | 74 | 0.430 | 0.983 | 0.902 | 0.829 | 87.5% |
0.12 | 146 | 101 | 0.587 | 0.907 | 0.692 | 0.861 | 77.7% |
0.14 | 237 | 121 | 0.703 | 0.760 | 0.511 | 0.878 | 63.8% |
0.15 | 275 | 135 | 0.785 | 0.711 | 0.491 | 0.903 | 58.0% |
0.18 | 303 | 145 | 0.843 | 0.674 | 0.479 | 0.924 | 53.8% |
0.20 | 367 | 149 | 0.866 | 0.550 | 0.406 | 0.920 | 44.0% |
0.22 | 384 | 155 | 0.901 | 0.527 | 0.404 | 0.938 | 41.4% |
0.25 | 472 | 161 | 0.936 | 0.357 | 0.341 | 0.940 | 28.0% |
0.31 | 603 | 172 | 1.000 | 0.110 | 0.285 | 1.000 | 8.0% |
PSAD (ng/mL per mL) greater than | |||||||
0.10 | 603 | 172 | 1.000 | 0.110 | 0.285 | 1.000 | 8.0% |
0.11 | 570 | 169 | 0.983 | 0.171 | 0.296 | 0.965 | 13.1% |
0.13 | 479 | 165 | 0.959 | 0.351 | 0.344 | 0.960 | 26.9% |
0.15 | 397 | 158 | 0.919 | 0.506 | 0.398 | 0.946 | 39.4% |
0.17 | 336 | 138 | 0.802 | 0.591 | 0.411 | 0.894 | 48.7% |
0.18 | 309 | 125 | 0.727 | 0.620 | 0.405 | 0.865 | 52.9% |
0.20 | 214 | 124 | 0.721 | 0.814 | 0.579 | 0.891 | 67.3% |
0.22 | 161 | 91 | 0.529 | 0.855 | 0.565 | 0.836 | 75.4% |
PSATZ (ng/mL per mL) greater than: | |||||||
0.15 | 599 | 172 | 1.000 | 0.118 | 0.287 | 1.000 | 8.7% |
0.22 | 494 | 172 | 1.000 | 0.334 | 0.348 | 1.000 | 24.7% |
0.25 | 452 | 162 | 0.942 | 0.401 | 0.358 | 0.951 | 31.1% |
0.30 | 340 | 151 | 0.878 | 0.610 | 0.444 | 0.934 | 48.1% |
0.33 | 286 | 138 | 0.802 | 0.694 | 0.483 | 0.908 | 56.4% |
0.35 | 262 | 131 | 0.762 | 0.729 | 0.500 | 0.896 | 60.0% |
0.37 | 243 | 128 | 0.744 | 0.762 | 0.527 | 0.893 | 62.9% |
0.40 | 230 | 128 | 0.744 | 0.789 | 0.557 | 0.897 | 64.9% |
0.46 | 195 | 107 | 0.622 | 0.818 | 0.549 | 0.859 | 70.2% |
0.55 | 148 | 94 | 0.547 | 0.888 | 0.635 | 0.846 | 77.4% |
F/T ratio = free-to-total PSA ratio; PSA = prostate-specific antigen; PSAD = PSA density; PSATZ = PSA density of the transition zone