Table 3. Diagnostic yield of magnifying NBI applying UMEC for esophageal lesions.
Sensitivity % (95 % CI) | Specificity % (95 % CI) | PPV % (95 % CI) | NPV % (95 % CI) | Accuracy % (95 % CI) | Kappa value (95 % CI) P value | |
E-UMEC 1 vs 2 + 3 (non-neoplastic vs neoplastic) | ||||||
Endoscopist A | 91.3 (77.4–97.4) | 90.8 (85.8–92.9) | 77.8 (65.9–83.0) | 96.7 (91.5–99.0) | 90.9 (83.6–94.1) | 0.59 (0.40–0.77) P < 0.0001 |
Endoscopist B | 82.6 (67.9–91.5) | 92.3 (87.1–95.5) | 79.2 (65.1–87.7) | 93.8 (88.5–97.0) | 89.8 (82.1–94.4) | |
E-UMEC 1 + 2A vs 2B + 3 (non-cancer vs cancer) | ||||||
Endoscopist A | 73.3 (66.1–75.2) | 97.7 (90.1–99.6) | 97.1 (87.4–99.5) | 77.8 (71.7–79.3) | 85.2 (77.8–87.1) | 0.51 (0.35–0.66) P < 0.0001 |
Endoscopist B | 95.6 (87.7–98.7) | 72.1 (63.9–75.4) | 78.2 (71.7–80/8) | 93.9 (83.2–8.3) | 84.1 (76.0–87.3) | |
E-UMEC 1 + 2 vs 3 (Deep submucosal invasive cancer vs others) | ||||||
Endoscopist A | 81.8 (56.3–94.6) | 90.0 (87.3–92.7) | 56.3 (38.7–65.0) | 97.2 (93.3–99.2) | 89.8 (83.4–93.0) | 0.56 (0.32–0.80) P < 0.0001 |
Endoscopist B | 54.5 (33.6–62.0) | 98.7 (95.7–99.8) | 85.7 (52.8–97.4) | 93.8 (91.0–94.8) | 93.2 (87.9–95.0) |
NBI, narrow-band imaging; UMEC, unified magnifying endoscopic classification; PPV, positive predictive value; NPV, negative predictive value; CI, confidence interval.