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. 2020 Jun 5;52(4):730–737. [Article in Chinese] doi: 10.19723/j.issn.1671-167X.2020.04.026

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)