Table 4: Sensitivity, specificity, predictive values, and accuracy of duplex ultrasound findings in diagnosis of suprapopliteal arterial lesions.
|
Sensitivity |
Specificity |
PPV |
NPV |
Accuracy |
|
Ultrasound finding |
||||||
1. B-mode ultrasound |
72.2% (26/36) |
88.3% (83/94) |
70.3% (26/37) |
89.2% (83/93) |
83.8% (109/130) |
|
2. Color Doppler ultrasound |
65.8% (25/38) |
86.9% (80/92) |
67.6% (25/37) |
86% (80/93) |
80.8% (105/130) |
|
3. Increased PSV ≥ two-fold relative to the proximal segment |
79.2% (19/24) |
83% (88/106) |
51.3% (19/37) |
94.6% (88/93) |
82.3% (107/130) |
|
4. Monophasic flow and broadening spectrum at the examined segment |
59% (25/42) |
86.3% (76/88) |
67.6% (25/37) |
81.7% (76/93) |
77.7% (101/130) |
|
5. Monophasic flow with reduced velocity at the distal segment |
40% (4/10) |
86.8% (66/76) |
28.6% (4/14) |
91.7% (66/72) |
81.4% (70/86) |
|
Combining two ultrasound findings |
||||||
1 + 2 |
86.4% (19/22) |
83.3% (90/108) |
51.3% (19/37) |
96.8% (90/93) |
83.8% (109/130) |
|
1 + 3 |
94.7% (18/19) |
82.9% (92/111) |
48.6% (18/37) |
98.9% (92/93) |
84.6% (110/130) |
|
1 + 4 |
85.7% (18/21) |
82.6% (90/109) |
48.6% (18/37) |
96.8% (90/93) |
83.1% (108/130) |
|
2 + 3 |
94.4% (17/18) |
82.1% (92/112) |
45.9% (17/37) |
98.9% (92/93) |
83.8% (109/130) |
|
2 + 4 |
81.8% (18/22) |
82.4% (89/108) |
48.6% (18/37) |
95.7% (89/93) |
82.3% (107/130) |
|
Combining three ultrasound findings |
||||||
1 + 2 + 3 |
93.7% (15/16) |
96.8% (92/95) |
40.5% (15/37) |
98.9% (92/93) |
82.3% (107/130) |
|
1 + 2 + 4 |
93.3% (14/15) |
79.8% (91/114) |
37.8% (14/37) |
97.8% (91/93) |
80.8% (105/130) |