Table 2.
Performance of mNGS and conventional detection methods in patients with spinal infection.
| Methods | Sensitivity | Specificity | PPV | NPV | p value | p value |
|---|---|---|---|---|---|---|
| (%, N, 95% CI) | (%, N, 95% CI) | (%, N, 95% CI) | (%, N, 95% CI) | (sensitivity) | (specificity) | |
| mNGS | 89.0% (81/91) | 88.9% (8/9) | 98.8% (81/82) | 44.4% (8/18) | – | – |
| (83–96) | (52–100) | (96–101) | (22–69) | |||
| Culture | 28.1% (25/89) | 100.0% (6/6) | 100.0% (25/25) | 8.6% (6/70) | χ2 = 68.997 | p = 1.000a |
| (19–38) | (54–100) | (86–100) | (2–15) | p < 0.001a | ||
| Pathological examination | 42.9% (30/70) | 100.0% (9/9) | 100.0% (30/30) | 18.4% (9/49) | χ2 = 39.636 | p = 1.000b |
| (31–55) | (66–100) | (88–100) | (9–32) | p < 0.001b |
N: number of patients, PPV: positive predictive value, NPV: negative predictive value, CI: confidence interval, a: mNGS vs. culture.
: mNGS vs. Pathological examination.