Table 2.
Overall diagnostic performance of ultrasound and MRI features for diagnosis of nodal metastases
Variables | Cut-off Value | AUC (95% CI) | p-value |
Ultrasound (n = 316) | |||
CTRa | >2.3 mm | 0.635 (0.579 to 0.688) | <.001 |
CTDa | >2.3 mm | 0.642 (0.586 to 0.694) | <.001 |
CT-bilateral differenceRb | >0.7 mm | 0.656 (0.601 to 0.709) | <.001 |
CT-bilateral differenceDb | >0.7 mm | 0.662 (0.607 to 0.714) | <.001 |
LD | ≤13 mm | 0.542 (0.486 to 0.598) | .234 |
SD | >4.5 mm | 0.532 (0.475 to 0.588) | .380 |
LD/SD | ≤1.7 | 0.557 (0.501 to 0.613) | .110 |
Eccentricity | N/A | 0.565 (0.508 to 0.620) | .010 |
Fatty hilum loss | N/A | 0.548 (0.491 to 0.604) | .003 |
Irregularity | N/A | 0.512 (0.456 to 0.569) | .442 |
MRI (n = 260) | |||
CTRa | >3.0 mm | 0.622 (0.560 to 0.681) | .004 |
CTDa | >3.0 mm | 0.632 (0.570 to 0.690) | .002 |
CT-bilateral differenceRb | >0.8 mm | 0.647 (0.586 to 0.705) | <.001 |
CT-bilateral differenceDb | >0.8 mm | 0.651 (0.589 to 0.708) | <.001 |
LD | >10 mm | 0.560 (0.497 to 0.621) | .132 |
SD | >5.9 mm | 0.588 (0.526 to 0.649) | .032 |
LD/SD | ≤2.8 | 0.533 (0.470 to 0.595) | .412 |
Eccentricity | N/A | 0.587 (0.525 to 0.648) | .003 |
Fatty hilum loss | N/A | 0.532 (0.469 to 0.594) | .131 |
Irregularity | N/A | 0.527 (0.465 to 0.589) | .171 |
AUC, area under the receiver operating characteristic curve; CT, cortical thickness; LD, long diameter; SD, short diameter.
If the ALN had loss of fatty hilum, two CT features were assessed: radius (CTR) or SD (CTD).
CT-bilateral differenceR was calculated by CTR minus CT of contralateral ALN and CT-bilateral differenceD by CTD minus CT of contralateral ALN.