Table 5.
Performance of SVM, PCA and CT attenuation threshold models in the test dataset.
| Osteoporosis | Sensitivity | Specificity | AUC | Accuracy | Positive Predictive Value (PPV) | Negative Predictive Value (NPV) |
|---|---|---|---|---|---|---|
| CT attenuation threshold of 143.243 HU at the calcaneus | 0.00 | 1.00 | 0.356 | 0.750 | - | 0.750 |
| CT attenuation threshold of 260.755 HU at the medial cuneiform | 0.667 | 0.578 | 0.622 | 0.600 | 0.345 | 0.839 |
| SVM with RBF kernel | 0.867 | 0.733 | 0.867 | 0.767 | 0.520 | 0.943 |
| PCA model | 0.533 | 0.933 | 0.733 | 0.833 | 0.727 | 0.857 |
| Osteopenia/osteoporosis | Sensitivity | Specificity | AUC | Accuracy | Positive Predictive Value (PPV) | Negative Predictive Value (NPV) |
| CT attenuation threshold of 141.054 HU at the calcaneus | 0.630 | 0.786 | 0.708 | 0.750 | 0.474 | 0.878 |
| CT attenuation threshold of 327.331 HU at the medial cuneiform | 0.00 | 1.00 | 0.318 | 0.767 | - | 0.767 |
| SVM with RBF kernel | 0.696 | 0.857 | 0.783 | 0.817 | 0.588 | 0.907 |
| PCA model | 0.913 | 0.357 | 0.635 | 0.483 | 0.302 | 0.941 |
| Femoral neck BMD T-score ≤ -2.5 | Sensitivity | Specificity | AUC | Accuracy | Positive Predictive Value (PPV) | Negative Predictive Value (NPV) |
| CT attenuation threshold of 116.188 HU at the calcaneus | 0.625 | 0.731 | 0.678 | 0.717 | 0.263 | 0.927 |
| CT attenuation threshold of 257.709 HU at the medial cuneiform | 0.625 | 0.538 | 0.582 | 0.550 | 0.172 | 0.903 |
| SVM with RBF kernel | 0.875 | 0.635 | 0.750 | 0.667 | 0.269 | 0.971 |
| PCA model | 0.125 | 0.923 | 0.524 | 0.817 | 0.200 | 0.873 |
| Femoral neck BMD T-score < -1 | Sensitivity | Specificity | AUC | Accuracy | Positive Predictive Value (PPV) | Negative Predictive Value (NPV) |
| CT attenuation threshold of 122.043 HU at the calcaneus | 0.00 | 1.00 | 0.382 | 0.400 | - | 0.400 |
| CT attenuation threshold of 245.128 HU at the medial cuneiform | 0.00 | 1.00 | 0.424 | 0.400 | - | 0.400 |
| SVM with RBF kernel | 0.972 | 0.500 | 0.766 | 0.783 | 0.745 | 0.923 |
| PCA model | 0.889 | 0.292 | 0.590 | 0.650 | 0.653 | 0.636 |
BMD, bone mineral density; SVM, support vector machine; RBF, radial basis function; PCA, principal components analysis.