Test Performance of Positron Emission Tomography and Computed Tomography for Mediastinal Staging in Patients with Non–Small-Cell
Lung Cancer

Figure 5. Individual study estimates of sensitivity and 1 − specificity are shown for positron emission tomography with 18-fluorodeoxyglucose
in patients with enlarged lymph nodes ( ) and without enlarged lymph nodes ( ). The 2 receiver-operating characteristic curves
are nearly identical. However, in patients with enlarged lymph nodes on CT, studies tend to cluster on a portion of the curve
at which sensitivity is favored over specificity. In patients without lymph node enlargement, studies tend to cluster on a
portion of the curve at which specificity is favored over sensitivity. The approximate points on the curves where positron
emission tomography with 18-fluorodeoxyglucose operates in current practice in patients with and without lymph node enlargement
are indicated ( and , respectively). The discriminant function that separates the 2 groups of patients is shown ( ) ( = 0.002
by nonparametric permutation test).
Summary receiver-operating characteristic curves for mediastinal staging with positron emission tomography with 18-fluorodeoxyglucose
in patients with and without mediastinal lymph node enlargement on computed tomography (CT).□sopen circlessolid squaresolid
circledashed lineP
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Ann Intern Med
December 2, 2003
vol. 139
no. 11
879-892