Table 4:

Diagnostic performance for stroke detection with incremental study review using receiver operating characteristic–determined thresholds for level of confidence

SensitivitySpecificity
Se% (95% CI)P ValueaSp% (95% CI)P Valuea
Level of confidence ≥5 vs <5
    1) NCCT40.7 (30.8–50.6)1 vs 2: .17470.5 (64.4–76.7)1 vs 2: .088
    2) NCCT + CTA-SI51.7 (40.9–62.5)1 vs 3: .048b78.2 (72.2–84.2)1 vs 3: .002b
    3) NCCT + CTA-SI + CTP55.9 (45.6–66.3)2 vs 3: .53683.3 (78.3–88.3)2 vs 3: .155
Level of confidence ≤2 vs <2
    1) NCCT9.3 (4.3–14.3)1 vs 2: .009b91.9 (88.5–95.2)1 vs 2: .130
    2) NCCT + CTA-SI26.3 (17.3–35.3)1 vs 3: <.001b95.3 (92.5–98.1)1 vs 3: .691
    3) NCCT + CTA-SI + CTP42.4 (30.6–54.2)2 vs 3: .030b91.9 (88.4–95.4)2 vs 3: .264
  • Note:—Se indicates sensitivity; Sp, specificity.

  • a P value was obtained by a linear regression model of natural log(Se) or log(Sp) for each modality.

  • b Statistically significant.