TABLE 1

Sensitivity and Specificity Derived from Simulated Time–Activity Curves and Uptake Times

Sampling and correction scenarioExcludedSensitivitySpecificity
Scenario 1 (all scans 60–65 min)96% (94%–97%)99% (98%–100%)
Scenario 292% (90%–93%)99% (98%–100%)
 2 exclude out-of-range*20%94% (92%–95%)100% (99%–100%)
 2 corrected95% (93%–96%)99% (99%–100%)
Scenario 389% (86%–90%)96% (95%–97%)
 3 exclude out-of-range*44%93% (91%–95%)99% (98%–100%)
 3 corrected93% (92%–95%)99% (98%–100%)
Scenario 473% (70%–76%)91% (89%–92%)
 4 exclude out-of-range*64%82% (78%–86%)98% (95%–99%)
 4 corrected87% (85%–89%)98% (97%–99%)
  • * Out-of-range is defined as uptake time < 50 min or > 70 min, or difference between paired scans > 15 min.

  • Embedded Image, where corr = corrected, mid = midpoint, and OBS = observed (11).

  • Sensitivity is probability of observing 30% or greater SUV decrease given true 40% decrease; specificity is probability of observing absolute change of <30% given no true change. n = 1,000 per scenario. Data in parentheses are 95% confidence intervals.