5.
形态学参数与能谱参数鉴别NSCLC纵隔淋巴结转移的ROC曲线分析结果
Results of ROC analysis of morphologic indexes and dual-energy CT parameters in differential diagnosis of mediastinal metastatic and non-metastatic lymph nodes in non-small cell lung cancer (NSCLC)
Items | AUC | Sensitivity/% | Specivicity/% | Positive predictive value/% | Negative predictive value/% | Accuracy/% | |
Data in parentheses are 95%CI. LogitP, combination of short-axis diameter and normalized iodine concentration in venous phase; L, long-axis diameter; S, short-axis diameter; IC, iodine concentration; NIC, normalized iodine concentration; λHU, slope of spectral hounsfield unit curve; Zeff, effective atomic number. | |||||||
Parameter threshold | |||||||
S | 8.50 | 0.752(0.672-0.832) | 67.4(52.5-80.1) | 73.7(64.6-81.5) | 52.4(43.3-61.3) | 84.0(77.6-88.8) | 71.8(64.2 -78.5) |
L | 10.94 | 0.654(0.564-0.745) | 79.6(65.7-89.8) | 50.0(40.5-59.5) | 40.6(35.2-46.3) | 85.1(76.1-91.1) | 58.9(50.9 -66.5) |
S/L | 0.76 | 0.734(0.644-0.825) | 57.1(42.2-71.2) | 84.2(76.2-90.4) | 60.9(48.8-71.7) | 82.1(76.6-86.4) | 76.1(68.8-82.4) |
Arterial phase | |||||||
IC | 22.23 | 0.660(0.561-0.759) | 61.2(46.2-74.8) | 70.2(60.9-78.4) | 46.9(38.1-55.8) | 80.8(74.4-85.9) | 67.5(59.7-74.6) |
NIC | 0.31 | 0.850(0.793-0.908) | 91.8(80.4-97.7) | 69.3(60.0-77.6) | 56.3(49.1-63.2) | 95.2(88.5-98.1) | 76.1(68.8-82.4) |
λHU | 2.11 | 0.754(0.674-0.834) | 57.1(42.2-71.2) | 84.2(76.2-90.4) | 60.9(48.8-71.7) | 82.1(76.6-86.4) | 76.1(68.8-82.4) |
Zeff | 8.34 | 0.657(0.569-0.744) | 73.5(58.9-85.1) | 56.1(46.5-65.4) | 41.9(35.5-48.5) | 83.1(75.0-89.0) | 61.4(53.4-68.9) |
Venous phase | |||||||
IC | 25.56 | 0.643(0.544-0.742) | 44.9(30.7-59.8) | 83.3(75.2-89.7) | 53.7(40.9-66.0) | 77.9(73.0-82.1) | 71.8(64.2-78.5) |
NIC | 0.53 | 0.861(0.806-0.915) | 95.9(86.0-99.5) | 70.2(60.9-78.4) | 58.0(50.9-64.8) | 97.6(91.1- 99.4) | 77.9(70.8-84.0) |
λHU | 2.72 | 0.807(0.736-0.878) | 81.6(68.0-91.2) | 66.7(57.2-75.2) | 51.3(44.0-58.5) | 89.4(82.2-93.9) | 71.2(63.6-78.0) |
Zeff | 8.74 | 0.701(0.624-0.779) | 89.8(77.8-96.6) | 52.6(43.1-62.1) | 44.9(39.6-50.3) | 92.3(83.7-96.6) | 63.8(55.9-71.2) |
LogitP | 0.56 | 0.895(0.846-0.943) | 79.6(65.7-89.8) | 87.7(80.3-93.1) | 73.6(62.6-82.3) | 90.9(85.1- 94.6) | 85.3(78.9-90.3) |