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Table 4 Predictive value of each alternative technique compared with FISH expressed as HER2 copy number (cutoff set at 6 HER2 copies) in the overall population (n=840) and in the IHC 2+ subpopulation

From: SISH/CISH or qPCR as alternative techniques to FISH for determination of HER2 amplification status on breast tumors core needle biopsies: a multicenter experience based on 840 cases

Techniques

Population

Concordance (95%CI)

Sensitivity (95%CI)

Specificity (95%CI)

Positive predictive value (95%CI)

Negative predictive value (95%CI)

IHC

All (N=840)

95% [94-97]

89% [84-92]

98% [97-99]

95% [92-98]

95% [93-97]

SISH

All (N=587)

98% [96-99]

95% [91-98]

99% [98-100]

98% [94-99]

98% [96-99]

 

IHC 2+ (N=60)

90% [81-96]

72% [47-90]

96% [87-100]

87% [60-98]

91% [81-97]

CISH

All (N=204)

75% [69-81]

99% [92-100]

64% [56-72]

57% [48-67]

99% [94-100]

 

IHC 2+ (N=27)

62% [42-79]

100% [40-100]

56% [35-76]

27% [8-55]

100% [77-100]

qPCR

All (N=773)

93% [91-94]

80% [75-85]

98% [96-99]

94% [90-97]

92% [90-94]

 

IHC 2+ (N=86)

86% [78-92]

45% [24-68]

97% [91-100]

83% [52-98]

86% [77-93]

  1. CI: confidence interval.