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Activity Number: 274
Type: Contributed
Date/Time: Tuesday, August 5, 2008 : 10:30 AM to 12:20 PM
Sponsor: Biometrics Section
Abstract - #302372
Title: Using Bernstein Polynomials To Model Misclassification in BI-RADS Breast Density Measurements
Author(s): Charlotte C. Gard*+ and Elizabeth R. Brown
Companies: University of Washington and University of Washington
Address: Department of Biostatistics, Seattle, WA, 98195,
Keywords: breast density ; misclassification ; Bernstein polynomials
Abstract:

Breast cancer risk prediction models that include breast density (BD) measured on the four-point American College of Radiology Breast Imaging Reporting and Data System (BI-RADS) scale have been shown to have slightly better predictive accuracy than models that do not include BD. Because BI-RADS BD is subject to misclassification, it is thought that inclusion of BD measured continuously could further improve the predictive accuracy of the models. Unlike BI-RADS BD, however, continuous BD is not routinely measured in clinical practice. With a final goal of predicting continuous BD for women for whom it is not available, we take a Bayesian approach to modeling the misclassification in BI-RADS BD. Continuous BD is modeled using Bernstein polynomial priors. We allow for radiologist-specific misclassification in BI-RADS BD and linkage of this misclassification to radiologist characteristics.


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