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Table 3 Diagnostic performance for T1 relaxation time and ADC value in evaluating MVI-positive HCC

From: Value of T1 mapping on gadoxetic acid-enhanced MRI for microvascular invasion of hepatocellular carcinoma: a retrospective study

Parameters

AUC

Thresholds

Sensitivity

Specificity

Accuracy

+LR

-LR

PPV

NPV

T1 relaxation time

 Pre-contrast

0.587

1138.4a

78.9%

44.7%

58.5%

1.4

0.5

49.2%

75.8%

  95% CI

0.481–0.688

 

62.7–90.4%

313–58.5%

48.6–68.5%

1.1–1.9

0.2–0.9

36.1–62.3%

57.7–88.9%

 

862.1b

21.1%

91.1%

62.8%

2.4

0.9

61.5%

63.0%

  

9.6–37.3%

80.4–97.0%

52.3–72.5%

0.8–6.7

0.7–1.0

31.6–86.1%

51.5–73.4%

 Postcontrast

0.728

586.7a

57.9%

75.0%

68.1%

2.3

0.6

61.1%

72.4%

  95% CI

0.626–0.814

 

40.8–73.7%

61.6–85.6%

58.7–77.5%

1.4–3.9

0.40–0.80

43.5–76.9%

59.1–83.3%

 

679.4b

34.2%

91.1%

68.1%

3.8

0.7

72.2%

67.1%

  

19.6–51.4%

80.4–97.0%

58.7–77.5%

1.5–9.9

0.6–0.9

46.5–90.3%

55.4–77.5%

 Reduction rate

0.824

44.9%a

79.0%

73.2%

75.5%

3.0

0.3

66.7%

83.7%

  95% CI

0.732–0.895

 

62.7–90.4%

59.7–84.2%

66.9–84.2%

1.9–4.7

0.2–0.5

51.0–80.0%

70.3–92.7%

 

38.0%b

47.4%

91.1%

74.4%

5.3

0.6

78.3%

71.8%

  

31.0–64.2%

80.4–97.0%

64.5–82.3%

2.2–13.1

0.4–0.8

56.3–92.5%

59.9–81.9%

ADC

0.690

1553.5a

71.1%

66.1%

68.1%

2.1

0.4

58.7%

77.1%

 95% CI

0.586–0.781

 

51.1–84.6%

52.2–78.2%

58.7–77.5%

1.4–3.2

0.30–0.70

43.2–73.0%

62.7–88.0%

 

1339.1b

31.6%

92.9%

69.1%

4.8

0.7

76.5%

67.5%

  

17.5–48.7%

82.7–98.0%

59.8–78.5%

1.7–13.6

0.6–0.9

50.1–93.2%

55.9–77.8%

Reduction rate + ADC

0.864d

44.9% + 1553.5c

60.6%

91.8%

80.9%

7.4

0.4

80.0%

81.2%

 95% CI

0.776–0.952

 

42.2–76.6%

81.2–96.9%

72.9–88.9%

3.1–17.9

0.3–0.7

58.7–92.4%

69.6–89.2%

  1. AUC Area under receiver operating characteristic curve, LR Likelihood ratio, PPV Positive predictive value, NPV Negative predictive value, CI Confidence intervals, ADC Apparent diffusion coefficient
  2. a represents the cut-off values calculated though maximal Youden index in ROC analysis
  3. b represents the optional thresholds that demonstrating a specificity just higher than 90% with a reliable higher sensitivity
  4. c represents a proposed criteria of combining the reduction rate lower than 44.9% and the ADC value lower than 1553.5 s/mm2 that demonstrated the highest diagnostic accuracy of predicting MVI of HCC
  5. d represents the AUC in ROC analysis was calculated based on the model of combining the reduction rate and the ADC in multivariate logistic regression model