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Table 6 Comparison of sensitivity, specificity, PPV, NPV and diagnostic accuracy of the IAC Yokohama system for the diagnosis of malignant breast lesions in various studies

From: Cytomorphological spectrum of breast fine needle aspiration cytology using the International Academy of Cytology Yokohama System and evaluation of associated risk of malignancy–A retrospective study in a tertiary care cente

Groups

 

Wong S et al. (Wong et al. 2019) (n = 536)

Montezuma D et al. (Montezuma et al. 2019) (n = 755)

De Rosa F et al. (Rosa et al. 2020) (n = 1616)

Ahuja S et al. (Ahuja and Malviya 2021) (n = 224)

Present Study, 2023 (n = 321)

Group A

(Only malignant category taken as positive)

Sensitivity

75.4%

68.7%

82.2%

79.2%

82.1%

Specificity

100%

100%

97.8%

100%

100%

PPV

100%

100%

98.8%

100%

100%

NPV

80.7%

87.7%

71%

90.9%

93%

Diagnostic accuracy

87.9%

90.3%

87%

93.2%

94.7%

Group B

(Suspicious of malignancy and malignant taken as positive)

Sensitivity

92%

83.3%

93.7%

91.7%

91.5%

Specificity

97.8%

99.8%

90.8%

98.7%

98.7%

PPV

97.6%

99.5%

95.8%

97.1%

96.6%

NPV

92.7%

93%

86.6%

96.1%

96.5%

Diagnostic accuracy

95%

94.7%

92.8%

96.4%

96.5%

Group C

(Atypical, suspicious and malignant category taken as positive)

Sensitivity

98.9%

98.3%

98.9%

97.2%

95.7%

Specificity

62.1%

54.8%

56.3%

86%

90.2%

PPV

71.7%

49.2%

30.5%

77%

81.9%

NPV

98.3%

98.6%

95.1%

98.5%

97.9%

Diagnostic accuracy

80.2%

68.2%

82.7%

89.6%

86.3%