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.