多模态肺结节诊断模型的临床验证及应用价值探索

许万星, 王琳, 郭巧梅, 王薛庆, 娄加陶

Clinical validation and application value exploration of multi-modal pulmonary nodule diagnosis model

XU Wanxing, WANG Lin, GUO Qiaomei, WANG Xueqing, LOU Jiatao

表3 MPI-RF和 Lung-RADS在良恶性肺结节中的诊断性能比较

Tab 3 Comparison of diagnostic performance of MPI-RF and Lung-RADS in benign and malignant pulmonary nodules

Item AUC (95% CI) Sensitivity/% Specificity/% PPV/% NPV/% Accuracy/% P value All nodules 0.000 MPI-RF 0.887 (0.848‒0.925) 81.22 83.70 91.43 67.52 82.01 Lung-RADS 0.593 (0.521‒0.665) 75.13 43.48 74.00 74.94 65.05 Solid nodule 0.000 MPI-RF 0.877 (0.820‒0.934) 80.52 84.62 86.11 78.57 82.39 Lung-RADS 0.636 (0.542‒0.729) 94.81 32.31 62.39 84.00 66.20 Part-solid nodule 0.000 MPI-RF 0.858 (0.771‒0.946) 88.79 80.00 95.96 57.14 87.40 Lung-RADS 0.641 (0.506‒0.776) 68.22 60.00 90.12 26.09 66.93 Pure GGN 0.000 MPI-RF 0.978 (0.923‒1.000) 92.31 100.00 100.00 87.50 95.00 Lung-RADS 0.577 (0.319‒0.835) 15.38 100.00 100.00 38.89 45.00