JSM 2004 - Toronto

Abstract #302105

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Activity Number: 383
Type: Contributed
Date/Time: Wednesday, August 11, 2004 : 2:00 PM to 3:50 PM
Sponsor: ENAR
Abstract - #302105
Title: Combining Dependent Tests to Compare the Accuracies of Different Diagnostic Tests
Author(s): Yuqing Yang*+
Companies: Columbia University
Address: 154 Haven Ave. #707, New York, NY, 10032,
Keywords: ROC curve ; repeated measurements ; combining dependent tests
Abstract:

In comparing different diagnostic tests, repeated measurements of the same characteristic are often taken under two or more distinct conditions for each experimental subject. The commonly seen example is the multireader ROC studies with multiple tests. To draw an overall conclusion on whether different diagnostic tests have same accuracies, various parametric and nonparametric methods have been proposed. We present a method of combining dependent tests by utilizing the idea in Wei & Johnson. Specifically, a test statistic from each reader is constructed by extending the structural components method of DeLong, DeLong, and Clark-Pearson, then a single test is constructed by combining all the individual test statistics. Numerical studies show that when readers have effect on the measurements, the proposed test yields appropriate size and power while tests based on existing method have inappropriate size and insufficient power.


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