Table 4.

Comparison of sensitivities, specificities, Youden’s indices, and likelihood ratios among SM screening tests

Sensitivity %Specificity %Youden’s indexLR+LR
BST ≥11.5 ng/mL (n = 136) 88.3 23.8 0.12 1.16 (0.96-1.39) 0.49 (0.23-1.07) 
BST ≥20.0 ng/mL (n = 136) 59.6 71.4 0.31 2.09 (1.26-3.46) 0.57 (0.41-0.77) 
BST elevated based upon genotype (n = 117) 84.2 90.2 0.74 8.63 (3.39-22.00) 0.17 (0.10-0.30) 
REMA ≥2 (n = 136) 34.0 73.8 0.08 1.30 (0.73-2.32) 0.89 (0.71-1.13) 
REMA ≥2 and BST elevated based upon genotype (n = 117) 30.3 97.6 0.28 12.00 (1.74-89.00) 0.71 (0.61-0.84) 
Monomorphic MPCM (n = 136) 63.8 97.6 0.61 27.00 (3.84-187.00) 0.37 (0.28-0.49) 
Sensitivity %Specificity %Youden’s indexLR+LR
BST ≥11.5 ng/mL (n = 136) 88.3 23.8 0.12 1.16 (0.96-1.39) 0.49 (0.23-1.07) 
BST ≥20.0 ng/mL (n = 136) 59.6 71.4 0.31 2.09 (1.26-3.46) 0.57 (0.41-0.77) 
BST elevated based upon genotype (n = 117) 84.2 90.2 0.74 8.63 (3.39-22.00) 0.17 (0.10-0.30) 
REMA ≥2 (n = 136) 34.0 73.8 0.08 1.30 (0.73-2.32) 0.89 (0.71-1.13) 
REMA ≥2 and BST elevated based upon genotype (n = 117) 30.3 97.6 0.28 12.00 (1.74-89.00) 0.71 (0.61-0.84) 
Monomorphic MPCM (n = 136) 63.8 97.6 0.61 27.00 (3.84-187.00) 0.37 (0.28-0.49) 

Patients were included in this analysis only if they had either (1) a BMB or (2) detectable KIT p.D816V in PB. For the LR+ and LR, the numbers in brackets represent the 95% confidence intervals. Youden’s index = (sensitivity + specificity) – 1.

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