Table 3.
Diagnostic accuracy for detecting pelvic lymph node metastasis based on selected magnetic resonance (MR) imaging features.
Parameters | n | TP | TN | FP | FN | Sensitivity | Specificity | Accuracy |
---|---|---|---|---|---|---|---|---|
Region basis (Training) | ||||||||
RadSignature | 330 | 22 | 267 | 40 | 1 | 95.7% (78.1–99.9%) | 87.0% (82.7–90.5%) | 87.6% (83.5–90.9%) |
RadScore | 330 | 22 | 248 | 59 | 1 | 95.7% (78.1–99.9%) | 80.8% (75.9–85.0%) | 81.8% (77.2–85.8%) |
ADC | 330 | 21 | 91 | 216 | 2 | 91.3% (72.0–98.9%) | 29.6% (24.6–35.1%) * | 33.9% (28.8–39.3%) * |
SA | 330 | 16 | 213 | 94 | 7 | 69.6% (47.1–86.8%) * | 69.4% (63.9–74.5%) * | 69.4% (64.1–74.3%) * |
Region basis (Testing) | ||||||||
RadSignature | 142 | 8 | 114 | 18 | 2 | 80.0% (44.4–97.5%) | 86.4% (79.3–91.7%) | 85.9% (79.1–91.2%) |
RadScore | 142 | 8 | 106 | 26 | 2 | 80.0% (44.4–97.5%) | 80.3% (72.5–86.7%) | 80.3% (72.8–86.5%) |
ADC | 142 | 7 | 32 | 100 | 3 | 70.0% (34.8–93.3%) | 24.2% (17.2–32.5%) * | 27.5% (20.3–35.6%) * |
SA | 142 | 7 | 85 | 47 | 3 | 70.0% (34.8–93.3%) | 64.4% (55.6–72.5%) * | 64.8% (56.3–72.6%) * |
Patient basis (Training) | ||||||||
RadSignature | 165 | 15 | 119 | 30 | 1 | 93.8% (69.8–99.8%) | 79.9% (72.5–86.0%) | 81.2% (74.4–86.9%) |
RadScore | 165 | 15 | 105 | 44 | 1 | 93.8% (69.8–99.8%) | 70.5% (62.5–77.7%) | 72.7% (65.3–79.4%) |
ADC | 165 | 15 | 25 | 124 | 1 | 93.8% (69.8–99.8%) | 16.8% (11.2–23.8%) * | 24.2% (17.9–31.5%) * |
SA | 165 | 12 | 80 | 69 | 4 | 75.0% (47.6–92.7%) | 53.7% (45.3–61.9%) * | 55.8% (47.8–63.5%) * |
Patient basis (Testing) | ||||||||
RadSignature | 71 | 6 | 50 | 14 | 1 | 85.7% (42.1–99.6%) | 78.1% (66.0–87.5%) | 78.9% (67.6–87.7%) |
RadScore | 71 | 6 | 44 | 20 | 1 | 85.7% (42.1–99.6%) | 68.8% (55.9–79.8%) | 70.4% (58.4–80.7%) |
ADC | 71 | 6 | 9 | 55 | 1 | 85.7% (42.1–99.6%) | 14.1% (6.6–25.0%) * | 21.1% (12.3–32.4%) * |
SA | 71 | 5 | 28 | 36 | 2 | 71.4% (29.0–96.3%) | 43.8% (31.4–56.7%) * | 46.5% (34.5–58.7%) * |
Data in parentheses are 95% confidence intervals. TP = true positive, TN = true negative, FP = false positive, FN = false negative, PPV = positive predictive value, NPV = negative predictive value, SA = short axis, ADC = mean apparent diffusion coefficient value of the lymph node. * p < 0.05 McNemar test, as compared with the RadSignature model.