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