Table 2 Diagnostic accuracy of 99mTc-FAPI SPECT/CT and 18F-FDG PET/CT.

From: Comparison of [99mTc]Tc-FAPI SPECT/CT and [18F]FDG PET/CT as predictive biomarkers for immunotherapy response in gastrointestinal cancer

Index

TP

FP

TN

FN

Sensitivity(%)

Specificity(%)

Accuracy(%)

PPV(%)

NPV(%)

Primary tumor

         

18F-FDG

33

0

0

0

100

100

100

99mTc-FAPI

33

0

0

0

100

100

100

LN metastases

         

18F-FDG

142

3

18

38

79(142/180)

86(18/21)

80(160/201)

98(142/145)

32(18/56)

99mTc-FAPI

127

0

21

53

71(127/180)

100(21/21)

74(148/201)

100(127/127)

28(21/74)

χ2

    

3.309

3.231

1.999

2.657

0.215

P value

    

0.069

0.232

0.157

0.251

0.643

Peritonea metastases

         

18F-FDG

3

0

33

12

20(3/15)

100(33/33)

75(36/48)

100(3/3)

69(33/48)

99mTc-FAPI

15

0

33

0

100(15/15)

100(33/33)

100(48/48)

100(15/15)

100(33/33)

χ2

    

20.000

13.714

10.400

P value

    

<0.001

<0.001

0.001

Liver metastases

         

18F-FDG

10

0

14

10

50(10/20)

100(14/14)

71(24/34)

100(10/10)

58(14/24)

99mTc-FAPI

17

0

14

3

85(17/20)

100(14/14)

91(31/34)

100(17/17)

82(14/17)

χ2

    

5.584

4.660

2.651

P value

    

0.041

0.062

0.173

Metastases in other sites

         

18F-FDG

12

1

10

5

71(12/17)

91(10/11)

79(22/28)

92(12/13)

67(10/15)

99mTc-FAPI

17

0

11

0

100(17/17)

100(11/11)

100(28/28)

100(17/17)

100(11/11)

χ2

    

5.862

1.048

6.720

1.353

4.540

P value

    

0.044

1.000

0.023

0.433

0.053

  1. 99mTc=Technetium-99m, FAPI = fibroblast activation protein inhibitor,18F=fluorine 18,FDG = fluorodeoxyglucose, TP = true-positive, FP = false-positive, TN = true-negative, FN = false-negative, NPV = negative predictive value, PPV = positive predictive value.
  2. Not calculable with the generalized linear model.