Table 4b.
Comparison of the diagnostic performance of prediction models and clinical indicators in the validation group (csPCa).
| Indicators | AUC | 95% CI | Cutoff | Sensitivity | Specificity | PPV | NPV | p |
|---|---|---|---|---|---|---|---|---|
| t-PSA | 0.610 | 0.501–0.718 | 13.480 | 0.383 | 0.92 | 64.29% | 77.86% | 0.047 |
| PSAD | 0.733 | 0.643–0.823 | 0.290 | 0.660 | 0.732 | 50.00% | 83.51% | <0.000 |
| PIRADS score | 0.847 | 0.785–0.910 | 3 | 0.851 | 0.777 | 40.00% | 97.73% | <0.000 |
| T2WI score | 0.815 | 0.747.0.883 | 3 | 0.767 | 0.901 | 38.87% | 94.76 | <0.000 |
| DWI score | 0.830 | 0.763–0.897 | 3 | 0.766 | 0.777 | 36.72% | 100.00% | <0.000 |
| Total score | 0.888 | 0.838–0.938 | 5 | 0.914 | 0.714 | 43.93% | 100.00% | <0.000 |
| Model 1 | 0.872 | 0.817–0.926 | 0.944 | 0.872 | 0.741 | 57.75% | 93.18% | <0.000 |
| Model 2 | 0.910 | 0.865–0.954 | 1.101 | 0.915 | 0.732 | 58.90% | 95.35% | <0.000 |
tPSA, total PSA; PSAD, PSA density; PI-RADS score, prostate imaging reporting and date system score; T2WI score, T2WI score referring to PI-RADS v2; DWI score, DWI score referring to PI-RADS score; csPCa, clinical significant prostate cancer; Total score, T2WI score + DWI score. Model 1 = f/tPSA + PSAD + T2WI score. Model 2 = f/tPSA + PSAD + Total score; AUC, area under the curve; 95% CI, 95% confidence interval for AUC; Cutoff, best cutoff; PPV, positive predictive value; NPV, negative predictive value.