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Table 2 Evaluation of the pathogen identification pipeline

From: Evaluation of respiratory samples in etiology diagnosis and microbiome characterization by metagenomic sequencing

 

Thresholds

 

mNGS

Diagnosis

 

SDSMRN

RAR

CF

  

 + 

−

Non-mycobacterium

      

All

   

NPV = 76%

 + 

26

26

    

PPV = 50%

−

44

143

Sputum

4000

65

3

NPV = 66%

 + 

18

14

    

PPV = 56%

−

26

50

BALF

4500

60

6

NPV = 80%

 + 

6

6

    

PPV = 50%

−

11

45

Lung tissue

6000

55

4

NPV = 85%

 + 

1

5

    

PPV = 17%

−

5

28

Pleural fluid

1000

35

8

NPV = 91%

 + 

1

1

    

PPV = 50%

−

2

20

Mycobacterium

       

All

   

NPV = 76%

 + 

45

29

    

PPV = 61%

−

51

166

Sputum

MRN = 3

  

NPV = 69%

 + 

14

11

    

PPV = 56%

−

28

62

BALF

MRN = 3

  

NPV = 79%

 + 

17

11

    

PPV = 61%

−

15

58

Lung tissue

MRN = 13

  

NPV = 81%

 + 

10

4

    

PPV = 71%

−

4

23

Pleural fluid

MRN = 2

  

NPV = 85%

 + 

4

3

    

PPV = 57%

−

4

23

Fungi

       

All

   

NPV = 85%

 + 

19

44

    

PPV = 30%

−

37

212

Sputum

400

85

7.5

NPV = 87%

 + 

4

9

    

PPV = 31%

−

20

131

BALF

100

90

9.5

NPV = 80%

 + 

3

5

    

PPV = 38%

−

12

47

Lung tissue

600

80

8

NPV = 76%

 + 

2

6

    

PPV = 25%

−

12

37

Pleural fluid

50

80

8.5

NPV = 91%

 + 

1

1

    

PPV = 50%

−

2

20

  1. BALF bronchoalveolar lavage fluid
  2. SDSMRN StandarDized Strictly Mapping Read Numbers
  3. RAR relative abundance rate
  4. CF coverage fold
  5. MRN mapped read number
  6. Bold values are the results of the ‘All’s