Table 4.
ROC analyses of 18F-FDG PET/CT and DW-MRI parameters to predict pCR-T
| Parameters | AUC | SE | 95% CI | Z statistic | P value | Youden index | Associated criterion | Sensitivity (%) | Specificity (%) |
|---|---|---|---|---|---|---|---|---|---|
| SUVmax-Tpost | 0.720 | 0.0804 | 0.563–0.846 | 2.743 | 0.0061 | 0.4409 | ≤ 4.42 | 78.57 | 65.52 |
| MTV-Tpost | 0.819 | 0.0647 | 0.672–0.920 | 4.927 | < 0.0001 | 0.5172 | ≤ 5.076 | 100.00 | 51.72 |
| TLG-Tpost | 0.828 | 0.0630 | 0.682–0.925 | 5.204 | < 0.0001 | 0.5517 | ≤ 14.65 | 100.00 | 55.17 |
| ΔSUVmax-T | 0.752 | 0.0752 | 0.598–0.869 | 3.346 | 0.0008 | 0.4874 | ≥ 0.7229 | 86.67 | 62.07 |
| ΔMTV-T | 0.685 | 0.101 | 0.528–0.817 | 1.836 | 0.0663 | 0.4299 | ≥ 0.8937 | 53.33 | 89.66 |
| ADCduring | 0.880 | 0.0602 | 0.704–0.962 | 6.325 | < 0.0001 | 0.7029 | > 2.52 | 83.33 | 86.96 |
| ADCpost | 0.771 | 0.0842 | 0.588–0.900 | 3.114 | 0.0018 | 0.6234 | > 2.68 | 90.91 | 71.43 |
| ΔADCduring | 0.851 | 0.0639 | 0.691–0.949 | 5.504 | < 0.0001 | 0.6522 | > 0.53 | 100.0 | 65.22 |
| Combined model* | 0.914 | 0.0518 | 0.759–0.983 | 7.987 | < 0.0001 | 0.7636 | ≤ 0.475 | 90.00 | 86.36 |
P values less than 0.05 are indicated in bold italics
*Predicted probability of the combined model: P = e^(7.325 + 0.244*TLG-Tpost-3.774*ADCduring)/(1 + e^(7.325 + 0.244*TLG-Tpost-3.774*ADCdur ing))
DW-MRI diffusion-weighted magnetic resonance imaging; 18F-FDG-PET/CT 18F-Fluorodeoxyglucose-positron emission tomography/computed tomography; pCR-T complete response of primary tumor; SUVmax maximum standard uptake value; MTV metabolic tumor volume; TLG total lesion glycolysis; ADC apparent diffusion coefficient; ROC receiver operating characteristic; AUC areas under the curve; SE standard error; CI confidence interval