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. 2022 Feb 28;11:18. doi: 10.4103/abr.abr_164_20

Table 3.

Diagnostic performance indices and 95% confidence intervals

Variable All patients Premenopausal Postmenopausal
ADNEX
 Sensitivity 62.5 (40.6-81.2) 59.1 (36.4-79.3) 50.0 (1.3-98.7)
 Specificity 79.6 (74.2-84.3) 85.3 (80.1-89.5) 100 (84.6-100)
 PPV 22.0 (12.9-33.7) 27.1 (15.3-41.9) 100 (2.5-100)
 NPV 95.8 (92.2-98.1) 95.8 (92.1-98.0) 95.7 (78.1-99.9)
 LR+ 3.07 4.02 NA
 LR− 0.47 0.48 0.50
 AUC 74.6 (69.1-79.6) 76.6 (71.0-81.6) 61.4 (39.5-80.3)
P <0.001 <0.001 0.602
RMI
 Sensitivity 83.3 (62.6-95.3) 86.4 (65.1-97.1) 50.0 (1.3-98.7)
 Specificity 29.6 (24.1-35.6) 27.3 (21.8-33.4) 90.9 (70.8-98.9)
 PPV 9.8 (6.1-14.8) 9.9 (6.1-15.0) 33.3 (14.0-90.5)
 NPV 95.1 (87.8-98.6) 95.6 (87.7-99.1) 95.2 (76.2-99.9)
 LR+ 1.18 1.19 5.50
 LR− 0.56 0.50 0.55
 AUC 51.7 (45.7-57.6) 51.4 (45.1-57.6) 56.8 (35.2-76.7)
P 0.785 0.831 0.754
Maximal diameter of lesion
 Sensitivity 66.7 (44.7-84.4) 86.4 (65.1-97.1) 100 (15.8-100)
 Specificity 61.1 (54.9-67.1) 45.0 (38.5-51.5) 40.9 (20.7-63.6)
 PPV 13.7 (8.0-21.2) 12.7 (7.8-19.1) 13.3 (1.7-40.4)
 NPV 95.2 (90.8-97.9) 97.3 (92.3-99.4) 100 (66.4-100)
 LR+ 1.72 1.57 1.69
 LR− 0.55 0.30 0.00
 AUC 67.4 (61.7-72.9) 69.5 (63.5-75.0) 60.2 (38.4-79.4)
P 0.005 0.003 0.638
CA-125
 Sensitivity 41.7 (22.1-63.4) 40.9 (20.7-63.6) 50.0 (1.3-98.7)
Specificity 80.8 (75.4-85.4) 81.1 (75.5-85.9) 95.5 (77.2-99.9)
 PPV 16.7 (8.3-28.6) 16.7 (7.9-29.3) 50.3 (1.3-98.7)
 NPV 93.8 (89.7-96.5) 93.7 (89.4-96.6) 95.4 (77.2-99.9)
 LR+ 2.17 16.7 (7.9-29.3) 11.00
 LR− 0.72 93.7 (89.4-96.6) 0.52
 AUC 59.8 (53.9-65.6) 60.4 (54.1-66.4) 52.3 (31.1-72.8)
P 0.111 0.108 0.917

PPV: Positive predictive value, NPV: Negative predictive value, RMI: Risk of malignancy index, AUC: Area under the curve, LR+: Positive likelihood, LR−: Negative likelihood