Research Article

DNA Methylation Analysis of the SHOX2 and RASSF1A Panel Using Cell-Free DNA in the Diagnosis of Malignant Pleural Effusion

Table 4

Diagnostic performance of different markers.

Sensitivity% (95% CI)Specificity% (95% CI)NPV% (95% CI)PPV% (95% CI)Cut-off score

Total methylation96.0 (78.8–95.9)100.0 (90.2–100.0)83.3 (70.2–91.6)100.0 (91.3–100.0)
CEA (ng/mL)48.9 (33.9–64.0)100.0 (89.8–100.0)65.2 (52.3–76.2)100.0 (81.5–100.0)6
NSE (ng/mL)17.8 (8.5–32.6)100.0 (89.8–100.0)53.8 (42.3–64.8)100.0 (59.8–100.0)40
Pro-GRP (ng/mL)11.1 (4.2–24.8)88.4 (74.1–95.6)48.7 (37.3–60.2)50.0 (20.1–79.9)80
SCC (ng/mL)0 (0–9.8)100.0 (89.8–100.0)48.9 (38.1–59.7)4
CYFRA21-1 (ng/mL)42.2 (28.0–57.8)97.7 (86.2–99.9)61.8 (49.1–73.0)95.0 (73.1–99.7)6
AFP (IU/mL)0 (0–15.0)100.0 (88.0–100.0)56.3 (43.3–68.4)5.8
CA-125 (IU/mL)78.6 (58.5–91.0)47.2 (30.8–64.3)73.9 (51.3–88.9)53.7 (37.6–69.0)35
CA-153 (IU/mL)46.4 (28.0–65.8)100.0 (88.0–100.0)70.6 (56.0–82.1)100 (71.7–100)34.5
CA-199 (IU/mL)21.4 (9.0–41.5)97.2 (83.8–99.9)61.4 (47.6–73.7)85.7 (42.0–99.2)39

CI, confidence interval; PPV, positive predictive value; NPV, negative predictive value.