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Table 3 Diagnostic performance of CECT and EOB-MRI observations with corresponding histopathologic abnormality

From: Prospective evaluation of Gadoxetate-enhanced magnetic resonance imaging and computed tomography for hepatocellular carcinoma detection and transplant eligibility assessment with explant histopathology correlation

LR-4 or 5 score as HCC

Size

 

CECT

EOB-MRI

p-value

Se

Sp

NPV

PPV

Acc

Se

Sp

NPV

PPV

Acc

Se

Sp

overall

R1

80.9 (38/47)

100 (4/4)

30.8 (4/13)

100 (38/38)

82.4 (42/51)

96.3 (78/81)

85.7 (6/7)

66.7 (6/9)

98.7 (78/79)

95.5 (84/88)

  

R2

69 (29/42)

100 (4/4)

23.5 (4/17)

100 (29/29)

71.7 (33/46)

76.6 (59/77)

83.3 (5/6)

21.7 (5/23)

98.3 (59/60)

77.1 (64/83)

  

Pooled

75.3

100

   

86.7

84.6

   

< 0.001

< 0.001

<  2 cm

R1

81 (34/42)

100 (2/2)

20 (2/10)

100 (34/34)

81.8 (36/44)

95.4 (62/65)

80 (4/5)

57.1 (4/7)

98.4 (62/63)

94.3 (66/70)

  

R2

64.9 (24/37)

100 (2/2)

13.3 (2/15)

100 (24/24)

66.7 26/39)

73.4 (47/64)

75 (3/4)

15 (3/20)

97.9 (47/48)

73.5 (50/68)

  

Pooled

73.4

100

   

84.5

77.8

   

1

1

≥ 2 cm

R1

80 (4/5)

100 (2/2)

66.7 (2/3)

100 (4/4)

85.7 (6/7)

100 (16/16)

100 (2/2)

100 (2/2)

100 (16/16)

100 (18/18)

  

R2

100 (5/5)

100 (2/2)

100 (2/2)

100 (5/5)

100 (7/7)

92.3 (12/13)

100 (2/2)

66.7 (2/3)

100 (12/12)

93.3 (14/15)

  

Pooled

90

100

   

96.6

100

   

0.452

0.452

LR-5 score as HCC

size

 

CECT

EOB-MRI

p-value

Se

Sp

NPV

PPV

Acc

Se

Sp

NPV

PPV

Acc

Se

Sp

overall

R1

86.5 (32/37)

100 (4/4)

44.4 (4/9)

100 (32/32)

87.8 (36/41)

54.2 (32/59)

100 (7/7)

20.6 (7/34)

100 (32/32)

59.1 (39/66)

  

R2

68.6 (24/35)

100 (4/4)

26.7 (4/15)

100 (24/24)

71.8 (28/39)

50 (30/30)

83.3 (5/6)

14.3 (5/35)

96.8 (30/31)

53 (35/66)

  

Pooled

77.8

100

   

52.1

92.3

   

0.243

0.243

1–1.9 cm

R1

87.5 (28/32)

100 (2/2)

33.3 (2/6)

100 (28/28)

88.2 (30/34)

48.8 (21/43)

100 (5/5)

18.5 (5/27)

100 (21/21)

54.2 (26/48)

  

R2

70 (21/30)

100 (2/2)

18.2 (2/11)

100 (21/21)

71.9 (23/32)

51.1 (24/47)

75 (3/4)

11.5 (3/26)

96 (24/25)

52.9 (27/51)

  

Pooled

79

100

   

50

88.9

   

0.002

0.002

≥ 2 cm

R1

80 (4/5)

100 (2/2)

66.7 2/3)

100 (4/4)

85.7 (6/7)

68.8 (11/16)

100 2/2)

28.6 (2/7)

100 (11/11)

72.2 (13/18)

  

R2

60 (3/5)

100 (2/2)

50 (2/4)

100 (3/3)

71.4 (5/7)

46.2 (6/13)

100 (2/2)

22.2 (2/9)

100 (6/6)

53.3 8/15)

  

Pooled

70

100

   

58.6

100

   

1

1

  1. Data are percentages, with numerators and denominators in parentheses
  2. Acc accuracy, CECT contrast-enhanced computed tomography, EOB-MRI Gadoxetic acid-enhanced MRI, NPV negative predictive value, PPV positive predictive value, R1 reader 1, R2 reader 2, Se sensitivity, Sp specificity