Review Article

Methylation Markers for Urine-Based Detection of Bladder Cancer: The Next Generation of Urinary Markers for Diagnosis and Surveillance of Bladder Cancer

Table 1

Sensitivity and specificity of cytology, NMP22, ImmunoCyt, and UroVysion when no distinguishment is made between patients with suspicion of bladder cancer and patients previously diagnosed with bladder cancer.

TestSamples/studiesSensitivity, % (95% CI)Specificity, % (95% CI)Interference by other bladder conditionsCommentsReference

Cytologya14260/3644 (38–51)96 (94–98)YesSubjective judgement[12]
NMP22b10119/2868 (62–74)79 (74–84)YesCutoff was ≥10 U/mL for positive test result [12]
ImmunoCyt2896/884 (77–91)75 (68–83)YesAt least one green or one red fluorescent cell [12]
UroVysion2535/1276 (65–84)85 (78–92)NoCutoffs may vary between studies [12]

a Voided urine only.
b Including five studies using NMP22 BladderChek.