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. 2020 May 26;21(7):812–828. doi: 10.3348/kjr.2020.0483

Table 2. Studies Reporting Sensitivity and Specificity for Diagnosing pCR both for T2 and for Combined T2 and DWI in Same Group of Patients.

First Author (Year) Study Type MR Method Sensitivity, %* Specificity, %* Comparative Result Method to Combine T2 and DWI Results
Kim (2009) (31) Retrospective T2 54.5 (6/11) 75.9 (22/29) Significantly higher overall accuracy for combined T2 and DWI compared with T2 (p = 0.0313 by McNemar test) T2 findings as primary results, with DWI to override T2 when T2 findings are equivocal or to increase reader confidence if T2 and DWI findings are consistent
Combined T2 and DWI 90.9 (10/11) 82.8 (24/29)
Lambregts (2011) (34) Retrospective T2 40.0 (10/25) 91.6 (87/95) No statistical comparisons regarding binary interpretations. Area under ROC curve was 0.8 for combined T2 and DWI and 0.76 for T2 (p = 0.39) Obscure
Combined T2 and DWI 56.0 (14/25) 93.7 (89/95)
Sassen (2013 (40) Retrospective T2 30.0 (3/10) 86.7 (52/60) No statistical comparisons regarding binary interpretations. Area under ROC curve was 0.89 for combined T2 and DWI and 0.77 for T2 (p = 0.005) Obscure
Combined T2 and DWI 70.0 (56/60) 93.3 (56/60)
Horvat (2018) (28) Retrospective T2 57.1 (12/21) 73.1 (68/93) No statistical comparisons Obscure
Combined T2 and DWI 84.2 (16/19) 56.3 (49/87)
Meta-analytic summary NA T2 47 (95% CI, 30–63) 84 (95% CI, 72–95) p = 0.01 from joint-model bivariate meta-regression analysis NA
Combined T2 and DWI 74 (95% CI, 60–88) 85 (95% CI, 74–96)

*Numbers in parentheses are number of patients unless specified otherwise, Article states complete tumor response on MRI when both T2 and DWI were negative for residual tumor. However, reported results are more compatible with combined MRI result of complete tumor response when T2 or DWI was negative for residual tumor. CI = confidence interval, DWI = diffusion-weighted imaging, MR = magnetic resonance, NA = not applicable, pCR = pathologic complete response, ROC = receiver operating characteristic, T2 = T2-weighted imaging