Table 7

Results of invasive tests in CT or PET-CT negative patients

N-final
N0–1N2–3NxTotal
(a) Yield of mediastinoscopy
CT N2–3
Mediastinoscopy*
 N0–15124378
 N2–315015
93
PET-CT N2–3
Mediastinoscopy
 N0–1910221
 N2–3606
27
(b) Yield of EUS-FNA
CT N2–3
EUS-FNA§
 N0–1205025
 N2–321021
46
PET-CT N2–3
EUS-FNA
 N0–1**6006
 N2–310010
16
  • * Overall NPV of mediastinoscopy was 76% (107/141, 95% CI 68% to 82%).

  • NPV of mediastinoscopy when CT is positive: 68% (57% to 77%).

  • NPV of mediastinoscopy when PET-CT is positive: 47% (27% to 68%).

  • § Overall NPV of EUS-FNA is 85% (35/41) (72% to 93%).

  • NPV of EUS-FNA when CT is positive: 80% (61% to 91%).

  • ** NPV of EUS-FNA when PET-CT is positive: 100% (61% to 100%).

  • EUS, endoscopic ultrasound; FNA, fine needle aspiration; NPV, negative predictive value; PET, positron emission tomography.