Table 3. Diagnostic performance of dual-energy CT quantitative parameters for the differential diagnosis of benign and malignant lesions of the breast.
Parameter | AUC | Threshold of parameter | Sensitivity (%) | Specificity (%) | Accuracy (%) |
---|---|---|---|---|---|
Arterial phase NIC | 0.86 | 0.044 | 86.4 (38/44) [72.0, 94.3] | 72.6 (85/117) [63.5, 80.3] | 76.4 (123/161) [69.2, 82.3] |
Venous phase NIC | 0.77 | 0.129 | 95.5 (42/44) [83.3, 99.2] | 47.0 (55/117) [37.8, 56.4] | 60.2 (97/161) [52.5, 67.5] |
Arterial phase λHu (HU/keV) | 0.89 | 0.765 | 86.4 (38/44) [72.0, 94.3] | 83.8 (98/117) [75.5, 89.7] | 84.5 (136/161) [78.0, 89.3] |
Venous phase λHu (HU/keV) | 0.9 | 1.74 | 84.1 (37/44) [69.3, 92.8] | 86.3 (101/117) [78.4, 91.7] | 85.7 (138/161) [79.4, 90.4] |
Arterial phase nZeff | 0.81 | 0.705 | 70.5 (31/44) [54.6, 82.8] | 86.3 (101/117) [78.4, 91.7] | 82.0 (132/161) [75.3, 87.2] |
Venous phase nZeff | 0.77 | 0.835 | 77.3 (34/44) [61.8, 88.0] | 75.2 (88/117) [66.2, 82.5] | 75.8 (122/161) [68.6, 81.8] |
Arterial phase attenuation (HU) | 0.87 | 42.35 | 84.1 (37/44) [69.3, 92.8] | 82.1 (96/117) [73.6, 88.3] | 82.6 (133/161) [76.0, 87.7] |
Venous phase attenuation (HU) | 0.89 | 53.7 | 79.5 (35/44) [64.2, 89.7] | 83.8 (98/117) [75.5, 89.7] | 82.6 (133/161) [76.0, 87.7] |
Data in parentheses are the numerator/denominator and data in brackets are the 95% confidence intervals. NIC, normalized iodine concentration; nZeff, normalized effective atomic number; λHu, slope of the spectral Hounsfield unit curve; HU, Hounsfield unit; AUC, area under the curve.