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. Author manuscript; available in PMC: 2022 Apr 1.
Published in final edited form as: AJR Am J Roentgenol. 2020 Aug 5;215(4):903–912. doi: 10.2214/AJR.19.22573

TABLE 3:

Diagnosis Performance Statistics on Artificial Intelligence (AI) and MRI for PI-RADS Category Thresholds: Peripheral Zone Lesions

PI-RADS Threshold for Performance Metric Evaluation AI
MRI
Overall Reader Experience Level
Overall Reader Experience Level
Low Moderate High Low Moderate High
PI-RADS ≥ 1
 Sensitivity (%) 56.8 (51.3–63.1) 54.5 (46.5–63.0) 56.6 (48.7–63.0) 60.5 (54.0–68.1) 55.4 (49.9–61.7) 55.4 (47.9–63.1) 55.9 (49.1–63.5) 55.1 (47.9–63.7)
 PPV (%) 52.1 (47.9–56.5) 54.1 (47.5–61.4) 47.7 (41.0–54.2) 54.6 (48.5–61.4) 58.7 (54.4–63.1) 59.1 (52.5–66.1) 51.6 (45.4–58.2) 65.3 (58.6–72.8)
PI-RADS ≥ 2
 Sensitivity (%) 56.8 (51.3–63.1) 54.5 (46.5–63.0) 55.6 (48.7–63.0) 60.5 (54.0–68.1) 55.4 (49.9–61.7) 55.4 (47.9–63.1) 55.9 (49.1–63.5) 55.1 (47.9–63.7)
 PPV (%) 52.5 (48.2–56.9) 54.1 (47.5–61.4) 48.3 (41.6–54.8) 55.0 (49.0–61.6) 59.3 (55.1–63.7) 61.0 (54.1–68.2) 51.6 (45.4–58.0) 65.3 (58.6–72.8)
PI-RADS ≥ 3
 Sensitivity (%) 50.1 (44.2–57.1) 47.6 (39.7–56.5) 50.4 (43.2–58.4) 52.5 (44.9–61.5) 52.4 (47.2–58.7) 53.0 (45.8–60.8) 53.0 (46.0–61.0) 51.3 (44.1–60.4)
 PPV (%) 60.4 (55.9–65.3) 60.7 (53.5–68.6) 54.1 (46.7–61.3) 66.6 (60.6–72.7) 63.4 (59.1–67.8) 66.1 (58.7–73.8) 52.2 (45.4–59.1) 71.9 (65.9–78.3)
PI-RADS ≥ 4
 Sensitivity (%) 44.0 (38.4–50.7) 41.9 (34.8–50.0) 44.1 (36.9–52.2) 46.0 (39.9–54.3) 47.2 (41.6–53.5) 46.4 (38.5–54.7) 50.5 (43.5–58.7) 44.6 (38.2–53.2)
 PPV (%) 67.5 (62.8–72.5) 64.2 (55.9–72.9) 59.5 (51.5–67.5) 78.8 (72.9–84.9) 67.8 (62.9–72.5) 68.6 (60.8–76.4) 55.1 (48.2–62.3) 79.5 (72.9–86.4)
PI-RADS ≥ 5
 Sensitivity (%) 17.8 (13.4–22.8) 20.0 (13.9–26.5) 18.0 (12.0–25.0) 15.3 (10.2–21.7) 18.2 (13.6–23.4) 17.8 (11.6–24.6) 19.3 (13.3–26.7) 17.4 (11.7–24.5)
 PPV (%) 88.6 (82.4–94.1) 90.8 (82.7–97.9) 83.1 (72.4–93.3) 91.9 (82.4–100) 84.7 (79.0–90.9) 84.3 (74.2–94.1) 83.5 (72.4–94.9) 86.4 (79.6–93.3)

Note—Values in parentheses are 95% CI. PI-RADS = Prostate Imaging Reporting and Data System, PPV = positive predictive value.