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ROC曲线在Ca125鉴别诊断卵巢癌和卵巢良性肿瘤中的应用
引用本文:刘远新,伍细言,邹珊静. ROC曲线在Ca125鉴别诊断卵巢癌和卵巢良性肿瘤中的应用[J]. 实用预防医学, 2010, 17(7): 1398-1400
作者姓名:刘远新  伍细言  邹珊静
作者单位:湖南省妇幼保健院,湖南,长沙,410005
摘    要:
目的通过应用ROC曲线对Ca125在卵巢癌和卵巢良性肿瘤中升高程度的差异进行研究,以确定Ca125在卵巢癌和卵巢良性肿瘤鉴别诊断中的最佳切值(cut-off)。方法采用电化学发光法测定54例卵巢癌患者、68例卵巢良性肿瘤患者、104例正常人的Ca125浓度,应用SPSS11.5软件中的ROC曲线分析法进行处理,对不同组别、不同cut-off下的灵敏度与特异度进行分析。结果应用ROC曲线对Ca125鉴别诊断卵巢癌和卵巢良性肿瘤的ROC曲线下面积(AUC)为0.812;cutoff=60、100、150U/ml时,灵敏度分别为0.80、0.74、0.61;特异度分别为0.53、0.79、0.93。结论 Ca125在卵巢癌的鉴别诊断中具有中等诊断价值;本实验室Ca125在卵巢癌与卵巢良性肿瘤的鉴别诊断中以cutoff=100U/ml为最佳。

关 键 词:ROC曲线  Ca125  卵巢癌  cutoff值

Application of ROC Curve in Differential Diagnosis of Ovarian Cancer and Benign Ovarian Tumor
LIU Yuan-xin,WU Xi-yan,ZOU Shan-jing. Application of ROC Curve in Differential Diagnosis of Ovarian Cancer and Benign Ovarian Tumor[J]. Practical Preventive Medicine, 2010, 17(7): 1398-1400
Authors:LIU Yuan-xin  WU Xi-yan  ZOU Shan-jing
Affiliation:LIU Yuan-xin,WU Xi-yan,ZOU Shan-jing (Hunan Provincial Hospital of Maternal and Child Health Care,Changsha 410005,Hunan,China)
Abstract:
Objective To study the difference of Ca125 values between ovarian cancer and benign ovarian tumor by receiver operating characteristic (ROC) curves, and to define the best cutoff point in the differential diagnosis of ovarian cancer and benign ovarian tumor. Methods Ca125 values of 54 ovarian cancer patients, 68 benign ovarian tumor patients and 104 normal individuals were detected by electrochemiluminescence immunoassay. We analyzed the Ca125 values using ROC curve of SPSS11.5, and calculated the sensitivi...
Keywords:Ca125
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