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Table 5 Testing set results for lymph node metastases; CT values compared with pathological findings

From: Computed tomography Hounsfield units can predict breast cancer metastasis to axillary lymph nodes

Mean NC-CT HU

 

Pathological findings

 
  

Positive

Negative

Total

CT

Positive

9

9

18

 

Negative

1

21

22

 

Total

10

30

40

Sensitivity 90.0%, Specificity 70.0%, PPV 50.0%, NPV 95.5%, Accuracy 75.0%

Maximum NC-CT HU

 

Pathological findings

 
  

Positive

Negative

Total

CT

Positive

10

7

17

 

Negative

0

23

23

 

Total

10

30

40

Sensitivity 100.0%, Specificity 76.7%, PPV 58.8%, NPV 100.0%, Accuracy 82.5%

Mean CE-CT HU

 

Pathological findings

 
  

Positive

Negative

Total

CT

Positive

7

13

20

 

Negative

3

17

20

 

Total

10

30

40

Sensitivity 70.0%, Specificity 56.7%, PPV 35.0%, NPV 85.0%, Accuracy 60.0%

Maximum CE-CT HU

 

Pathological findings

 
  

Positive

Negative

Total

CT

Positive

8

12

20

 

Negative

2

18

20

 

Total

10

30

40

Sensitivity 80.0%, Specificity 60.0%, PPV 40.0%, NPV 90.0%, Accuracy 65.0%

  1. Diagnosis of metastasis through CT HU values.
  2. CE-CT: contrast-enhanced computed tomography; HU: Hounsfield unit; NC-CT: non-contrasting computed tomography; NPV: negative predictive value; PPV: positive predictive value.