Table 4

Per-lesion sensitivity and positive predictive value (PPV) of various CT colonography (CTC) criteria for specifically diagnosing proximal synchronous cancer

Performance measuresCriteria for positive cancer diagnosis at CTC*
Lesion size ≥10 mmLesion size ≥15 mmLesion size ≥20 mmLesion size ≥10 mm and uneven surfaceLesion size ≥10 mm and pericolic abnormalityLesion size ≥10 mm and enlarged pericolic lymph nodesLesion size ≥15 mm and uneven surface, pericolic abnormality, or enlarged pericolic lymph nodes
Sensitivity, % (95% CI)87.5 (50.8 to 99.9)87.5 (50.8 to 99.9)62.5 (30.4 to 86.5)87.5 (50.8 to 99.9)62.5 (30.4 to 86.5)25 (6.3 to 59.9)87.5 (50.8 to 99.9)
 No. of lesions7/87/85/87/85/82/87/8
PPV, % (95% CI)17.5 (8.4 to 32.3)70 (39.2 to 89.7)100 (59.9 to 100)33.3 (17.1 to 54.8)100 (59.9 to 100)100 (36.9 to 100)77.8 (44.3 to 94.7)
 No. of lesions7/40 7/105/57/215/52/27/9
  • * Lesion size refers to the size measured on CTC.

  • Forty lesions ≥10 mm were observed on CTC, including 33 prospectively and two retrospectively identified true lesions, and five false-positive lesions.