Table 6 Diagnostic performance of interpretative criteria for prediction of complete response and progressive disease for indeterminate scores applied to all primary tumours, all nodal disease, HPV-positive OPC, HPV-negative OPC and hypopharynx/larynx sub-groups. () = number of indeterminate cases.

From: Post-treatment FDG PET-CT in head and neck carcinoma: comparative analysis of 4 qualitative interpretative criteria in a large patient cohort

 

NI-RADS (n = 91)

Porceddu (n = 25)

Hopkins (n = 13)

Deauville (n = 20)

Mean

All Primary Tumour

Sensitivity

41

11.67

9.23

9.84

17.9

Specificity

85

94.46

97.89

95.71

93.3

PPV

41.76

28

46.15

30

36.5

NPV

85.08

85.28

84.6

85.01

85.0

Accuracy

76.38

81.56

83.3

82.17

80.9

All Node

 

NI-RADS (n = 55)

Porceddu (n = 70)

Hopkins (n = 3)

Deauville (n = 18)

Mean

Sensitivity

39.02

32.81

4.62

15.62

23.0

Specificity

93.11

85.02

100

97.55

91.9

PPV

58.18

30

100

55.56

47.9

NPV

86.15

86.6

84.06

85.52

85.6

Accuracy

82.45

76.47

84.18

84.14

81.8

All HPV-positive OPC

 

NI-RADS (n = 32)

Porceddu (n = 9)

Hopkins (n = 4)

Deauville (n = 8)

Mean

Sensitivity

42.31

56.52

4.35

21.74

31.2

Specificity

96.86

88.46

100

99.36

94.9

PPV

68.75

41.94

100

83.33

64.7

NPV

91.12

93.24

87.64

89.6

90.4

Accuracy

89.19

84.36

87.71

89.39

87.7

All HPV-negative OPC

 

NI-RADS (n = 9)

Porceddu (n = 2)

Hopkins (n = 1)

Deauville (n = 1)

Mean

Sensitivity

50

28.57

12.5

14.29

26.3

Specificity

85.71

100

100

100

85.7

PPV

55.56

100

100

100

55.6

NPV

82.76

82.76

77.42

80

80.7

Accuracy

76.32

83.87

78.12

80.65

79.7

All Hypopharynx/Larynx

 

NI-RADS (n = 23)

Porceddu (n = 2)

Hopkins (n = 3)

Deauville (n = 2)

Mean

Sensitivity

34.48

5

0

5

14.8

Specificity

77.59

97.83

93.88

97.83

91.8

PPV

43.48

50

0

50

47.8

NPV

70.31

70.31

69.7

70.31

70.2

Accuracy

63.22

69.7

66.67

69.7

67.3

  1. Key: OPC = oropharyngeal cancer.