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Table 3 Application of cutoff values from ADC - R(450) to ADC - R(650) in the derivation cohort to the internal and external Cohorts

From: Quantitative analysis of apparent diffusion coefficients to predict neurological prognosis in cardiac arrest survivors: an observational derivation and internal–external validation study

ADC - R(thresholds)a

Cut-off value

AUC (95% CI)

Sensitivity (95% CI)

Specificity (95% CI)

PPV (95% CI)

NPV (95% CI)

Derivation cohort

ADC–R(450)

> 3.6

0.894 (0.846–0.931)

73.9 (65.8–81.0)

100.0 (95.8–100.0)

100

70.5 (64.3–76.0)

ADC–R(500)

> 5.2

0.901 (0.854–0.937)

75.4 (67.3–82.3)

100.0 (95.8–100.0)

100

71.7 (65.4–77.2)

ADC–R(550)

> 7.9

0.907 (0.861–0.942)

76.1 (68.1–82.9)

100.0 (95.8–100.0)

100

72.3 (65.9–77.8)

ADC–R(600)

> 13.2

0.909 (0.863–0.943)

76.1 (68.1–82.9)

100.0 (95.8–100.0)

100

72.3 (65.9–77.8)

ADC–R(650)

> 20.5

0.902 (0.855–0.937)

76.8 (68.9–83.6)

100.0 (95.8–100.0)

100

72.9 (66.5–78.5)

Internal validation cohort

ADC–R(450)

> 3.6

0.886 (0.805–0.942)

66.2 (53.7–77.2)

100.0 (87.7–100.0)

100

54.9 (46.6–62.9)

ADC–R(500)

> 5.2

0.894 (0.815–0.948)

70.6 (58.3–81.0)

100.0 (87.7–100.0)

100

58.3 (49.2–66.9)

ADC–R(550)

> 7.9

0.905 (0.829–0.956)

70.6 (58.3–81.0)

100.0 (87.7–100.0)

100

58.3 (49.2–66.9)

ADC–R(600)

> 13.2

0.911 (0.835–0.959)

70.6 (58.3–81.0)

100.0 (87.7–100.0)

100

58.3 (49.2–66.9)

ADC–R(650)

> 20.5

0.909 (0.833–0.958)

70.6 (58.3–81.0)

100.0 (87.7–100.0)

100

58.3 (49.2–66.9)

External validation cohort

ADC–R(450)

> 3.6

0.912 (0.849–0.955)

66.7 (53.7–78.0)

100.0 (94.5–100.0)

100

75.6 (68.6–81.4)

ADC–R(500)

> 5.2

0.916 (0.854–0.958)

73.4 (60.3–83.4)

100.0 (94.5–100.0)

100

79.3 (71.8–85.2)

ADC–R(550)

> 7.9

0.917 (0.855–0.958)

74.6 (62.1–84.7)

100.0 (94.5–100.0)

100

80.2 (72.7–86.1)

ADC–R(600)

> 13.2

0.918 (0.856–0.959)

77.8 (65.5–87.3)

100.0 (94.5–100.0)

100

82.3 (74.5–88.1)

ADC–R(650)

> 20.5

0.915 (0.853–0.957)

79.4 (67.3–88.5)

98.5 (91.7–100.0)

98.0 (87.7–99.7)

83.1 (75.2–88.9)

  1. aThe definition of ADC - R(x) is the ratio of voxels with ADC values ranging from 200 × 10−6 mm2/s to the threshold (x)
  2. ADC Apparent diffusion coefficient, AUC Area under the receiver operating characteristic curve, CI Confidence interval, PPV Positive predictive value, NPV Negative predictive value