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Table 5 Diagnostic characteristics of basal Doppler findings’ cutoff points for the prediction of IUCD-induced heavy menstrual bleeding

From: Doppler ultrasound for prediction of IUCD-induced heavy menstrual bleeding: a prospective cohort study

 

Uterine A. PI, cutoff ≤ 2.20

Uterine A. RI, cutoff ≤ 0.88

Sub-end. PI, cutoff ≤ 1.94

Sub-end. RI, cutoff ≤ 0.69

Sub-end. VI, cutoff ≥ 3.75

Sensitivity

88.1%

97.6%

88.1%

85.7%

97.6%

Specificity

60.3%

69.1%

36.8%

80.9%

82.4%

DA

70.9%

80.0%

56.4%

82.7%

88.2%

Youden’s index

48.4%

66.7%

24.9%

66.6%

80.0%

PPV

57.8%

66.1%

46.3%

73.5%

77.4%

NPV

89.1%

97.9%

83.3%

90.2%

98.2%

LR+

2.22

3.16

1.39

4.48

5.53

LR−

0.20

0.03

0.32

0.18

0.03

LR

11.24

91.76

4.30

25.38

191.33

 

Sub-end. FI, cutoff ≥ 3.20

Sub-end. VFI, cutoff ≥ 1.32

End. VI, cutoff ≥ 1.71

End. FI, cutoff ≥ 16.00

End. VFI, cutoff ≥ 0.18

Sensitivity

76.2%

97.6%

100.0%

97.6%

95.2%

Specificity

72.1%

75.0%

73.5%

26.5%

86.8%

DA

73.6%

83.6%

83.6%

53.6%

90.0%

Youden’s index

48.2%

72.6%

73.5%

24.1%

82.0%

PPV

62.7%

70.7%

70.0%

45.1%

81.6%

NPV

83.1%

98.1%

100.0%

94.7%

96.7%

LR+

2.73

3.90

3.78

1.33

7.20

LR−

0.33

0.03

0.00

0.09

0.05

LR

8.25

123.00

> 100.0

14.76

131.11

  1. CI confidence interval, DA diagnostic accuracy, PPV positive predictive value, NPV negative predictive value, LR+ positive likelihood ratio, LR− negative likelihood ratio, LR diagnostic odds ratio