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. 2019 May 6;11:4097–4107. doi: 10.2147/CMAR.S184532

Table 2.

Comparison of the diagnostic value of FR+CTC with tumor biomarkers

Biomarkers AUC 95% CI P-value Cutoff threshold Sensitivity Specificity
Lung cancer (n=23) versus noncancer (n=40)
FR+CTC 0.7810 0.6605–0.9015 0.0002 10.0 95.7% 65.0%
CA125 0.7716 0.6439–0.8992 0.0005 29.9 77.3% 74.4%
CA199 0.5425 0.3821–0.7029 0.5836 17.9 54.6% 64.1%
CEA 0.6247 0.4626–0.7868 0.1081 7.3 45.5% 89.7%
CYFRA21-1 0.7770 0.6566–0.8975 0.0003 4.8 78.3% 71.8%
CA724 0.6280 0.4345–0.8214 0.1635 6.0 42.9% 91.7%
NSE 0.7770 0.6537–0.9003 0.0003 13.4 56.5% 87.2%
Colorectal cancer (n=8) vs noncancer (n=40)
FR+CTC 0.7641 0.5596–0.9685 0.0195 17.0 62.5% 85.0%
CA125 0.5160 0.2775–0.7545 0.8875 56.4 37.5% 84.6%
CA199 0.7179 0.5194–0.9165 0.0543 18.3 75.0% 64.1%
CEA 0.5593 0.3306–0.7880 0.6005 3.2 87.5% 38.5%
CYFRA21-1 0.5369 0.3160–0.7577 0.7448 4.0 75.0% 43.6%
CA724 0.6007 0.3556–0.8458 0.3776 5.8 37.5% 91.7%
NSE 0.6907 0.5155–0.8659 0.0922 9.5 100% 38.5%
All cancers (n=34) vs noncancer (n=40)
FR+CTC 0.7507 0.6367–0.8647 0.0002 10.0 85.7% 65.0%
CA125 0.7036 0.5812–0.8260 0.0028 29.9 64.7% 74.4%
CA199 0.6037 0.4708–0.7366 0.1284 17.9 58.8% 64.1%
CEA 0.6044 0.4698–0.7391 0.1257 6.3 41.2% 87.2%
CYFRA21-1 0.6753 0.5501–0.8006 0.0102 4.8 61.8% 71.8%
CA724 0.5978 0.4439–0.7517 0.2024 5.8 37.5% 91.7%
NSE 0.7711 0.6639–0.8783 <0.0001 13.2 58.8% 87.2%

Notes: CYFRA21-1, CA724, and NSE tests had not performed for the lymphoma patient; thus, this patient was excluded from this analysis.

Abbreviation: AUC, area uner the curve; CI, confidence interval; FR+CTC, folate receptor-positive circulating tumor cell; CA, carbohydrate antigen; CEA, carcinoembryonic antigen; CYFRA21-1, cytokeratin 19 fragment antigen; NSE, neuron-specific enolase.