From:  Role of chest radiographs and electrocardiograms in predicting the hemodynamics of congenital heart disease

Sensitivity, specificity, predictive values, likelihood ratios, accuracy, and concordance of chest radiograph variables in comparison with echocardiography

VariablesSensitivitySpecificityPPVNPVPLRNLRAccuracyκP-value
Situs100.00%100.00%100.00%100.00%-0.00100.00%1.00< 0.001*
Cardiac position100.00%100.00%100.00%100.00%-0.00100.00%1.00< 0.001*
Cardiomegaly85.00%66.67%62.96%86.96%2.550.2374.00%0.49< 0.001*
RAE84.62%54.17%66.67%76.47%1.850.2870.00%0.390.004*
LAE66.67%71.43%50.00%83.33%2.330.4770.00%0.350.012*
RVE81.82%41.03%28.13%88.89%1.390.4450.00%0.140.163
LVE57.89%74.19%57.89%74.19%2.240.5768.00%0.320.023*
Position of AK50.00%97.83%66.67%95.74%23.000.5194.00%0.54< 0.001*
AA dilation25.00%95.65%33.33%93.62%5.750.7890.00%0.230.095
DA dilation-97.96%0.00%100.00%--98.00%--
MPA dilation50.00%95.65%50.00%95.65%11.500.5292.00%0.460.001*
RPA dilation75.00%93.48%50.00%97.73%11.500.9892.00%0.56< 0.001*
LPA dilation25.00%97.83%50.00%93.75%11.500.7792.00%0.300.025*
PAH12.50%95.24%33.33%85.11%2.630.9282.00%0.100.398

PPV: positive predictive value; NPV: negative predictive value; PLR: positive likelihood ratio; NLR: negative likelihood ratio; RAE: right atrium enlargement; LAE: left atrium enlargement; RVE: right ventricle enlargement; LVE: left ventricle enlargement; AK: aortic knuckle; AA: ascending aorta; DA: descending aorta; MPA: main pulmonary artery; RPA: right pulmonary artery; LPA: left pulmonary artery; PAH: pulmonary arterial hypertension; -: not applicable; *: concordance (agreement) between chest radiograph and echocardiography, as measured by κ, is significant at P < 0.05