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. 2019 Dec 20;39(12):1393–1401. doi: 10.12122/j.issn.1673-4254.2019.12.02

4.

ROC curves for CA125, HE4, ROMA and CPH-I for differentiating non-epithelial ovarian cancers and borderline ovarian tumors from benign ovarian mass.

Group Tests AUC(95%CI) SN(%) SP(%) PPV(%) NPV(%)
OC+BOT (n=188) vs Benign (n=531)
  Early stage CA125 0.678 (0.615, 0.740) 55.2 72.9 26.9 90.0
HE4 0.756 (0.695, 0.816) 33.3 94.4 51.6 88.7
ROMA 0.758 (0.698, 0.818) 50.0 87.6 42.1 90.6
CPH-I 0.751 (0.693, 0.810) 40.6 94.7 58.2 89.8
  Advanced stage CA125 0.911 (0.875, 0.947) 85.9 72.9 35.4 96.8
HE4 0.957 (0.928, 0.986) 81.5 94.4 71.4 96.7
ROMA 0.959 (0.930, 0.988) 89.1 87.6 55.4 97.9
CPH-I 0.961 (0.937, 0.985) 88.0 94.7 74.3 97.9
EOC (n=119) vs Benign (n=531)
  Early stage CA125 0.790 (0.693, 0.888) 70.3 72.9 15.3 97.2
HE4 0.869 (0.783, 0.954) 67.6 94.4 45.5 97.7
ROMA 0.866 (0.780, 0.953) 73.0 87.6 29.0 97.9
CPH-I 0.855 (0.769, 0.940) 67.6 94.7 47.2 97.7
  Advanced stage CA125 0.933 (0.901, 0.965) 90.2 72.9 33.9 98.0
HE4 0.981 (0.962, 0.999) 85.4 94.4 70.0 97.7
ROMA 0.983 (0.965, 1.000) 93.9 87.6 53.8 98.9
CPH-I 0.983 (0.970, 0.996) 92.7 94.7 73.1 98.8
EOC (n=119) vs Non-EOC+BOT (n=69)
  Early stage CA125 0.741 (0.624, 0.857) 70.3 54.2 49.1 74.4
HE4 0.791 (0.685, 0.896) 67.6 88.1 78.1 81.2
ROMA 0.781 (0.674, 0.889) 73.0 64.4 56.2 79.2
CPH-I 0.783 (0.673, 0.893) 67.6 76.3 64.1 78.9
  Advanced stage CA125 0.779 (0.617, 0.941) 90.2 50.0 93.7 38.5
HE4 0.856 (0.736, 0.976) 85.4 50.0 93.3 29.4
ROMA 0.876 (0.754, 0.997) 93.9 50.0 93.9 50.0
CPH-I 0.868 (0.761, 0.976) 92.7 50.0 93.8 45.5