Table 3.
Diagnostic test statistics of the study cohort showing the accuracy and missed cancer rates for each phi threshold as a triage test pre-MRI and biopsy. PSAd thresholds are shown as a comparator though this metric is not usually available before an mpMRI. Detection rates for cancer are shown using definitions of ≥ Grade Group 2 (GG2) or ≥ Cambridge Prognostic Group 3 [CPG3]. (*percentage out of 258 cancers detected, ** percentage out of 176 cancers detected)
| ≥ GG2 cancer detection | ≥ CPG3 cancer detection | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Threshold | Sensitivity | Specificity | NPV | % cancers missed* | Sensitivity | Specificity | NPV | % cancers missed** | |
| phi | 20 | 0.99 | 0.10 | 0.90 | 1.1 | 1.00 | 0.08 | 1.00 | 0 |
| 25 | 0.96 | 0.25 | 0.87 | 4.2 | 0.99 | 0.22 | 0.99 | 0.05 | |
| 30 | 0.92 | 0.40 | 0.85 | 7.7 | 0.95 | 0.35 | 0.94 | 1.0 | |
| 35 | 0.87 | 0.55 | 0.83 | 12.8 | 0.93 | 0.49 | 0.93 | 7.3 | |
| PSAd | 0.10 | 0.93 | 0.31 | 0.82 | 7.3 | 0.97 | 0.28 | 0.95 | 2.8 |
| 0.15 | 0.81 | 0.57 | 0.77 | 18.6 | 0.90 | 0.53 | 0.92 | 9.6 | |
| 0.20 | 0.69 | 0.77 | 0.73 | 31.3 | 0.80 | 0.72 | 0.88 | 20.0 | |