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Table 7 Cut-off of 90% sensitivity of the markers in subjects with tPSA 4–10 ng/mL

From: Usefulness of the prostate health index in predicting the presence and aggressiveness of prostate cancer among Korean men: a prospective observational study

Marker

Cut-off at 90% sensitivity

% Specificity

Unnecessary biopsy avoided

Missed cancer

Total

Missed GS 6

Missed GS 7

Missed GS ≥ 8

Total PSA 4–10 ng/mL

%fPSA

≤ 7.86

9%

4

(5.2%)

3 (10.3%)

0

(0%)

1 (3.5%)

2 (6.8%)

p2PSA

(pg/mL)

≥ 8.08

17%

7

(9.1%)

3 (10.3%)

2

(6.8%)

0

(0%)

1 (3.5%)

%

p2PSA

≥ 1.20

27%

12

(15.5%)

3 (10.3%)

3 (10.3%)

0

(0%)

0

(0%)

PHI

≥ 26.33

25%

9

(11.7%)

2

(6.8%)

2

(6.8%)

0

(0%)

0

(0%)

All study subjects

%fPSA

≤ 6.42

7%

6

(4.3%)

7 (11.1%)

0

(0%)

2 (3.2%)

5 (7.9%)

p2PSA

(pg/mL)

≥ 8.07

20%

16

(11.4%)

7 (11.1%)

4

(6.3%)

2 (3.2%)

1 (1.6%)

%

p2PSA

≥ 1.22

31%

24

(17.1%)

7 (11.1%)

7 (11.1%)

0

(0%)

0

(0%)

PHI

≥ 33.40

40%

32

(22.9%)

5

(7.9%)

5

(7.9%)

0

(0%)

0

(0%)

  1. PSA, prostate-specific antigen; fPSA, free PSA; p2PSA, [-2]proPSA; PHI, prostate health index
  2. Bold types to represent clinical significance could avoid unnessasary biopsies for %p2SPA and PHI