TABLE 1

Parameters Used in Decision Tree Modeling

Limit for sensitivity analysis
ParameterBaseline valueLowerUpper
Prevalence of class I/II outcomes0.2670.2020.332
Sensitivity of VEM/MRI for class I/II outcomes1.00.8451.0
Specificity of VEM/MRI for class I/II outcomes0.7050.5810.804
Proportion of VEM/MRI indeterminate0.5230.4490.597
Prevalence of class I/II outcomes if VEM/MRI indeterminate0.2780.1960.378
Sensitivity of PET for class I/II outcomes if VEM/MRI indeterminate0.960.8050.993
Specificity of PET for class I/II outcomes if VEM/MRI indeterminate0.2460.1580.363
Sensitivity of ictal SPECT for class I/II outcomes if VEM/MRI indeterminate0.783*0.664*0.869*
Specificity of ictal SPECT for class I/II outcomes if VEM/MRI indeterminate0.471*0.262*0.691*
Cost of VEM$4,110NANA
Cost of MRI$600NANA
Cost of ictal SPECT$5,310NANA
Cost of PET$918NANA
Cost of surgery$25,691NANA
Cost savings after class I/II outcome$440,000$0$700,000
  • * Data are based on Won et al. (36).

  • NA = not applied.