RT journal article T1 Malignant Pleural Effusion Risk Based On A Novel Tool Using Homocysteine And Carcinoembryonic Antigen In Pleural Fluid: A Multicenter Study A1 Santotoribio, Jose D. A1 Corral Pérez, Juan A1 Nuñez Jurado, David A1 Fatela Cantillo, Daniel A1 García de la Torre, Ángela A1 Orantes Maroto, Gabirel A1 Del Valle Vázquez, Luis A1 Del Castillo Otero, Daniel A1 Maira González, María Nieves A1 Cobos Diaz, Andrés A1 Juan M, Guerrero A1 López Sáez, José Juan Bosco A2 Didáctica de la Educación FísicaPlástica y Musical AB IntroductionThis multicenter study aimed to evaluate the Malignant Pleural Effusion Risk (MPER) diagnostic accuracy in distinguishing between benign and malign pleural effusion. Methods: MPER is based on pleural fluid Homocysteine (HCY) and carcinoembryonic antigen (CEA) that were measured using three different methods. MPER was calculated by assessing a previously published probabilistic model: Probability (%) = 100× (1 + e-z)-1, where Z = 0.5471 × [HCY] + 0.3846 × [CEA]–8.2671.ResultsA total of 301 patients were included (140 MPE). MPER demonstrated a high AUC (0.891), sensitivity (84.3 %), and specificity (80.7 %) with a cut-off > 35.3 %.ConclusionsThe MPER model demonstrated a high diagnostic accuracy supporting its use as a novel and powerful tool.IntroductionThis multicenter study aimed to evaluate the Malignant Pleural Effusion Risk (MPER) diagnostic accuracy in distinguishing between benign and malign pleural effusion. Methods: MPER is based on pleural fluid Homocysteine (HCY) and carcinoembryonic antigen (CEA) that were measured using three different methods. MPER was calculated by assessing a previously published probabilistic model: Probability (%) = 100× (1 + e-z)-1, where Z = 0.5471 × [HCY] + 0.3846 × [CEA]–8.2671.ResultsA total of 301 patients were included (140 MPE). MPER demonstrated a high AUC (0.891), sensitivity (84.3 %), and specificity (80.7 %) with a cut-off > 35.3 %.ConclusionsThe MPER model demonstrated a high diagnostic accuracy supporting its use as a novel and powerful tool. PB Elsevier SN 1873-2933 YR 2024 FD 2024 LK http://hdl.handle.net/10498/34336 UL http://hdl.handle.net/10498/34336 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 07-nov-2026