Table 4.
Performance of mNGS and conventional detection methods in patients with non-TB 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 | 84.9% (45/53) | 97.9% (46/47) | 97.8% (45/46) | 85.2% (46/54) | - | - |
| (75–95) | (88–100) | (88–100) | (75–95) | |||
| Bacterial culture | 15.4% (8/52) | 100.0% (43/43) | 100.0% (8/8) | 49.4% (43/87) | χ2 = 50.748 | p = 1.000a |
| (5–26) | (91–100) | (63–100) | (39–60) | p < 0.001a | ||
| Pathological examination | 26.2% (11/42) | 100.0% (37/37) | 100.0% (11/11) | 54.4% (37/68) | χ2 = 33.381. | – |
| (14–42) | (90–100) | (72–100) | (42–67) | p < 0.001b |
N: number of patients, PPV: positive predictive value, NPV: negative predictive value, CI: confidence interval, amNGS vs. bacterial culture, bmNGS vs. pathological examination