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Table 4 Comparison of different xSPECT quantification as well as blinded reading in patients with suspected prosthetic loosening

From: Accuracy comparison of various quantitative [99mTc]Tc-DPD SPECT/CT reconstruction techniques in patients with symptomatic hip and knee joint prostheses

xSPECT Quant

xSPECT Bone

xSPECT Quant iMAR

xSPECT Bone iMAR

xSPECT Quant

Blinded reading

Test for superiority*

Trainee

Senior

Cut-off SUVmax (ROC analysis)

9.40

13.87

9.61

14.78

   

Accuracy

77.4 (62.4–92.4)

84.8 (70.6–99.1)

81.8 (67.5–96.1)

93.9 (79.6–100)

81.8 (67.5–96.1)

84.8 (70.6–99.1)

P = 0.02

Sensitivity

90.0 (63.6–100)

90.0 (64.0–100)

90.0 (64.0–100)

80.0 (54.0–100)

60.0 (34.0–86.0)

70.0 (44.0–96.0)

P = 1.0

Specificity

71.4 (53.2–89.6)

82.6 (65.5–99.7)

78.3 (61.1–95.4)

100.0 (82.9–100)

91.3 (74.2–100)

91.3 (74.2–100)

P = 0.04

Positive predictive value

60.0 (38.4–81.6)

69.2 (48.0–90.4)

64.3 (43.1–85.5)

100.0 (74.0–100)

75.0 (49.0–100)

77.8 (51.8–100)

P = 0.02

Negative predictive value

93.8 (72.2–100)

95.0 (77.9–100)

94.7 (77.6–100)

92.0 (74.9–100)

84.0 (66.9–100)

87.5 (70.4–100)

P = 1.0

  1. Diagnostic performance of quantitative uptake measures is given in percentage based on quantitative ROC analysis with respective cut-off SUVmax values or blinded reading by one trainee and one senior reader with 95% confidence intervals in brackets. Standard for comparison was surgery or clinical follow-up and follow-up imaging of at least 1 year
  2. *P values for comparison of xSPECT Quant without iMAR versus xSPECT Bone with iMAR. There was a significant difference in the accuracy, specificity and positive predictive value between xSPECT Bone with iMAR and xSPECT Quant without iMAR (P = 0.04 and P = 0.02, respectively). All other not shown P values were not significantly different
  3. Bold numbers indicate signiicant differences (level of significance P < 0.05)