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Table 4 Diagnostic sensitivities and specificities of MMPs, TIMPs, and the MMP1/TIMP1-complex (MTC1) as single markers and two- and three-marker combinations to distinguish between healthy persons and bladder cancer patients at the 95% limits of sensitivity and specificity, respectively.a

From: Combined determination of plasma MMP2, MMP9, and TIMP1 improves the non-invasive detection of transitional cell carcinoma of the bladder

Marker (μg/l)

Sensitivity (%)b

Specificity (%)

Single marker

  

MMP1

  

   16.5

95 (85 – 98)

4.2 (1 – 12)

   0.95

24 (15 – 34)

95 (85 – 98)

MMP2

  

   613

95 (85 – 98)

7 (2 – 15)

   1071

47 (35 – 60)

95 (85 – 98)

MMP3

  

   25.2

95 (85 – 98)

3 (0.4 – 10)

   3.1

13 (6 – 24)

95 (85 – 98)

MMP9

  

   6.0

95 (85 – 98)

20 (11 – 31)

   106

12 (5 – 22)

95 (85 – 98)

TIMP1

  

   655

95 (85 – 98)

26 (16 – 38)

   158

38 (27 – 51)

95 (85 – 98)

TIMP2

  

   315

95 (85 – 98)

1.4 (0.2 – 7.4)

   112

40 (28 – 52)

95 (85 – 98)

MTC1

  

   57.3

95 (85 – 98)

12 (6 – 22)

   6.9

6 (2 – 15)

95 (85 – 98)

Marker combinations c

  

Ratio of MMP2 to TIMP1

  

   1.65

95 (85 – 98)

46 (34 – 58)

   5.45

49 (36 – 61)

95 (85 – 98)

mROC combinationsd

  

MMP9 + TIMP1

  

   -1.004

95 (85 – 98)

74 (62 – 84)

   -0.482

82 (70 – 90)

95 (85 – 98)

MMP9 + TIMP1 + MMP2

  

   0.745

95 (85 – 98)

94 (85 – 98)

   0.841

94 (85 – 98)

95 (85 – 98)

  1. aData results from ROC analysis (see Figures 1, 2) performed with the 79 controls and 68 patients with bladder cancer. The cutoffs correspond to the values at 95% sensitivity and specificity as indicated.
  2. b95% confidence intervals are given in parentheses.
  3. cAs marker combinations the ratio of the two best single markers (MMP2, TIMP1) and the best combinations based on the highest AUCs with two and three markers calculated by the mROC program (see Table 2; further details see text) were selected.
  4. dThe equations for the marker combinations used for the calculation of the respective new virtual marker is given in the legend of Table 3.