Table 5 Test characteristics of probable UIP pattern on CT alone and together with clinical features for IPF diagnosis in patients with CT pattern of non-definite UIP.

From: Diagnostic and prognostic implications of 2018 guideline for the diagnosis of idiopathic pulmonary fibrosis in clinical practice

 

Development cohort (n = 142)

Validation cohort (n = 94)

Model criteria

Sens

Spec

PPV

NPV

Accuarcy

Sens

Spec

PPV

NPV

Accuarcy

Probable UIP

72.1

(59.2–82.9)

63.0

(51.5–73.4)

59.5

(51.5–67.0)

75.0

(66.0–82.3)

66.9

(58.5–74.6)

68.3

(51.9–81.9)

67.9

(53.7–80.1)

62.2

(51.4–72.0)

73.5

(63.0–81.8)

68.1

(57.7–77.3)

Probable UIP and

male with age ≥ 60 years

41.0

(28.6–54.3)

92.6

(84.6–97.2)

80.6

(64.6–90.5)

67.6

(62.6–72.2)

70.4

(62.2–77.8)

24.4

(12.4–40.3)

88.7

(77.0–95.7)

62.5

(39.8–80.8)

60.3

(55.4–64.9)

60.6

(50.0–70.6)

Probable UIP and low lymphocyte count (≤ 15%) in BAL fluid

54.1

(40.9–66.9)

88.9

(80.0–94.8)

78.6

(65.5–87.6)

72.0

(66.0–77.3)

73.9

(65.9–80.9)

55.7

(37.4–69.3)

86.8

(74.7–94.5)

75.9

(59.8–86.9)

70.8

(63.1–77.4)

72.3

(62.2–81.1)

Probable UIP, male with age ≥ 60 years and low lymphocyte count (≤ 15%) in BAL fluid

34.4

(22.7–47.7)

97.5

(91.4–99.7)

91.3

(71.9–97.7)

66.4

(62.1–70.4)

70.4

(62.2–77.8)

17.1

(7.2–32.1)

92.5

(81.8–97.9)

63.6

(35.5–84.8)

59.0

(55.1–62.8)

59.6

(49.0–62.8)

Probable UIP and either low lymphocyte count (≤ 15%) in BAL fluid or male with age ≥ 60 years

60.7

(47.3–72.9)

84.0

(74.1–91.2)

74.0

(62.4–83.0)

73.9

(67.2–79.7)

73.9

(65.9–80.9)

73.3

(60.3–83.9)

73.5

(55.6–87.1)

83.0

(73.2–89.7)

61.0

(49.5–71.3)

73.4

(63.3–82.0)

Probable UIP, low lymphocyte count (≤ 15%) in BAL fluid and either male or age ≥ 60 years

52.5

(39.3–65.4)

90.1

(81.5–95.6)

80.0

(66.5–89.0)

71.6

(65.7–76.8)

73.9

(65.9–80.9)

51.2

(35.1–67.1)

90.6

(79.3–96.9)

80.8

(63.4–91.1)

70.6

(63.4–76.9)

73.4

(63.3–82.0)

  1. Data in parentheses are 95% confidence intervals. HRCT high-resolution computed tomography; IPF idiopathic pulmonary fibrosis; PPV positive predictive value; NPV negative predictive value; AUC area under the receiver-operator characteristics curve; UIP usual interstitial pneumonia; BAL bronchoalveolar lavage.