Table 3.
Diagnostic features of individual mEPE features included in PI-RADS v2.1
Diagnostic parameters | Univariate BLR | ||||||
---|---|---|---|---|---|---|---|
Detection rate | Sensitivity | Specificity | PPV | NPV | p | Odds ratio | |
Capsular abutment | 45/97 (46%) | 1 | 0.07 (0.004–0.14) | 0.46 | 1 | 0.98 | n.d. |
Tumor-capsule interface > 10 mm | 23/31 (74%) | 0.51 (0.365–0.66) | 0.86 (0.77–0.95) | 0.74 | 0.69 | 0.00015 | 6.3 (2.4–16) |
Irregular or spiculated margin | 33/53 (62%) | 0.73 (0.60–0.86) | 0.64 (0.52–0.77) | 0.62 | 0.75 | 0.0003 | 4.95 (2.1–12) |
Bulging prostatic contour | 31/37 (84%) | 0.69 (0.55–0.82) | 0.89 (0.81–0.97) | 0.80 | 0.848 | < 0.0001 | 18.5 (6.4–53) |
Asymmetry of neurovascular bundle | 11/13 (85%) | 0.24 (0.12–0.37) | 0.96 (0.92–1) | 0.85 | 0.61 | 0.007 | 8.7 (1.8–42) |
Measurable extraprostatic disease | 9/9 (100%) | 0.2 (0.08–0.32) | 1 | 1 | 0.61 | 0.98 | n.d. |
Obliteration of recto-prostatic angle | 4/4 (100%) | 0.09 (0.006–0.17) | 1 | 1 | 0.58 | 0.98 | n.d. |
mEPE, suspicion of extraprostatic extension at MRI; BLR, binary logistic regression; PPV, positive predictive value; NPV, negative predictive value; n.d., not determined, interval extending from 0 to infinite