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Table 2 Diagnostic performance for discriminating mild cognitive impairment (MCI) and Alzheimer’s disease (AD), MCI, and AD from cognitively normal controls

From: A multi-regression framework to improve diagnostic ability of optical coherence tomography retinal biomarkers to discriminate mild cognitive impairment and Alzheimer’s disease

No.

Parameter

Area under the receiver operating characteristic curve (95% confidence interval)

Sensitivity at 80% specificity

p value

A) MCI and AD vs control

1

Measured cpRNFL thickness

0.69 (0.62–0.75)

42.7

Ref

2

Retinal vessel density

0.61 (0.55–0.68)

35.9

0.080

3

Macular layers (mRNFL, mGCL and mIPL)

0.73 (0.68–0.79)

51.5

0.189

4

Compensated cpRNFL thickness and multiple ocular factors

0.74 (0.68–0.80)

56.3

0.026

5

Combined (#3 and #4)

0.80 (0.75–0.86)

68.0

< 0.001

B) MCI vs control

1

Measured cpRNFL thickness

0.68 (0.61–0.74)

42.7

Ref

2

Retinal vessel density

0.60 (0.53–0.67)

34.0

0.092

3

Macular layers (mRNFL, mGCL and mIPL)

0.71 (0.65–0.78)

45.6

0.393

4

Compensated cpRNFL thickness and multiple ocular factors

0.74 (0.67–0.80)

59.2

0.020

5

Combined (#3 and #4)

0.79 (0.73–0.85)

67.0

< 0.001

C) AD vs control

1

Measured cpRNFL thickness

0.71 (0.63–0.78)

36.9

Ref

2

Retinal vessel density

0.64 (0.56–0.72)

30.1

0.225

3

Macular layers (mRNFL, mGCL and mIPL)

0.76 (0.70–0.83)

56.3

0.086

4

Compensated cpRNFL thickness and multiple ocular factors

0.79 (0.72–0.85)

56.3

0.025

5

Combined (#3 and #4)

0.87 (0.82–0.92)

74.8

< 0.001

D) MCI vs AD

1

Measured cpRNFL thickness

0.58 (0.51–0.66)

26.9

Ref

2

Retinal vessel density

0.59 (0.51–0.67)

36.3

0.916

3

Macular layers (mRNFL, mGCL and mIPL)

0.66 (0.58–0.74)

37.2

0.129

4

Compensated cpRNFL thickness and multiple ocular factors

0.64 (0.56–0.71)

35.9

0.112

5

Combined (#3 and #4)

0.72 (0.65–0.79)

42.1

0.003

  1. Results for sensitivity is expressed as percentages. P value indicates the paired comparisons with the best parameter (reference group)
  2. cpRNFL circumpapillary retinal nerve fiber layer, mRNFL macular retinal nerve fiber layer, mGCL macular ganglion cell layer, mIPL macular inner plexiform layer