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. 2022 Mar 15;32(7):4942–4953. doi: 10.1007/s00330-022-08595-9

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