Correlation between individual biomarkers and spondylodiscitis as proved on pathology and/or microbiologya
Positive Pathology and/or Microbiology | ||||||
---|---|---|---|---|---|---|
r | P | PPV | NPV | Sensitivity | Specificity | |
Epidural enhancement | ||||||
Observer 1 | 0.37 | .00b | 61.3 | 75.6 | 65.5 | 72.1 |
Observer 2 | 0.42 | .001b | 50.9 | 100 | 100 | 34.9 |
Observer 3 | 0.39 | .001b | 49.2 | 100 | 100 | 30.2 |
Majority consensus | 0.47 | .001b | 53.7 | 100 | 100 | 41.9 |
Paraspinal enhancement | ||||||
Observer 1 | 0.34 | .03b | 50.0 | 88.9 | 93.1 | 37.2 |
Observer 2 | 0.27 | .02b | 44.6 | 100 | 100 | 16.3 |
Observer 3 | 0.30 | .01b | 53.8 | 75.8 | 72.4 | 58.1 |
Majority consensus | 0.39 | .01b | 49.2 | 100 | 100 | 30.2 |
Hyperintense T2 disc signal | ||||||
Observer 1 | 0.30 | .03b | 49.2 | 79.6 | 82.5 | 42.6 |
Observer 2 | 0.15 | .05b | 31.2 | 96.2 | 95.3 | 19.6 |
Observer 3 | 0.25 | .02b | 45.5 | 80.2 | 74.2 | 50.4 |
Majority consensus | 0.28 | .03b | 48.0 | 95.2 | 93.5 | 29.8 |
Vertebral endplate erosion | ||||||
Observer 1 | 0.29 | .02b | 48.9 | 82.4 | 89.6 | 33.6 |
Observer 2 | 0.17 | .03b | 37.5 | 95.8 | 92.5 | 27.5 |
Observer 3 | 0.33 | .01b | 38.1 | 82.5 | 76.3 | 59.1 |
Majority consensus | 0.31 | .02b | 42.6 | 91.5 | 91.8 | 34.7 |
Blood culture growth | 0.03 | .79 | 50 | 59.4 | 3.4 | 97.6 |
Fever status | 0.25 | .03a | 55.2 | 69.8 | 55.2 | 69.8 |
Leukocytosis | 0.039 | .77 | 40 | 55.4 | 13.8 | 83.8 |
Hemoglobin countc | −0.02 | .86 | NA | NA | NA | NA |
Platelet countc | 0.17 | .18 | NA | NA | NA | NA |
ALP levelc | 0.05 | .73 | NA | NA | NA | NA |
ESRc | −0.07 | .62 | NA | NA | NA | NA |
CRPc | 0.26 | .04a | NA | NA | NA | NA |