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Table 3 Diagnostic accuracy of Ultra on FNA and tissue measured against the composite reference standard and culture

From: Diagnostic accuracy of the Xpert MTB/Rif Ultra for tuberculosis adenitis

 

Sensitivity

Specificity

PPV

NPV

LR+

LR-

Composite reference standard

 Ultra on FNA (n = 73 participants)

21/30; 70% (51–85)

43/43; 100% (92–100)

100%

83%

inv

0.3

 Ultra on tissue (n = 81 participants)

16/24; 67% (45–84)

55/57; 96% (88–99)

89%

87%

16.8

0.3

Excluding the 21 participants on tuberculosis therapy>24 h

 Ultra on FNA (n = 57 participants)

12/20; 60% (36–81)

37/37; 100% (91–100)

100%

82%

inv

0.4

 Ultra on tissue (n = 66 participants)

10/18; 56% (31–78)

46/48; 96% (86–99)

83%

85%

14

0.5

Culture as the reference standard (n = 99 participants)

 Ultra on FNA (n = 73 participants)

7/9; 78% (40–97)

50/64; 78% (66–87)

33%

96%

3.5

0.3

 Ultra on tissue (n = 81 participants)

9/10; 90% (55–100)

62/71; 87% (77–94)

50%

98%

6.9

0.1

  1. Data are n/N; % (95% CI). FNA Fine-needle aspirate, AFBs Acid fast bacilli, PPV Positive predictive value, NPV Negative predictive value, LR likelihood ratio