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Activity Number: 193 - Modeling, Design Strategies and Assessments of Biomarkers
Type: Contributed
Date/Time: Tuesday, August 4, 2020 : 10:00 AM to 2:00 PM
Sponsor: Biopharmaceutical Section
Abstract #313250
Title: Estimation and Construction of Confidence Intervals for the Cutoff-Points of Continuous Biomarkers in Trichotomous Settings
Author(s): Brian Mosier* and Leonidas Bantis
Companies: University of Kansas Medical Center and University of Kansas Medical Center
Keywords: Biomarker; ROC Surface; Sensitivity; Specificity; Youden index
Abstract:

Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal forms of cancer with a 5-year survival rate between 5-7%. Thus, its early detection could be key to reducing PDAC mortality. Novel biomarkers are currently being studied for the early detection of PDAC. The ROC based Youden index is a popular method for choosing the optimal cutoff values of biomarkers and was recently generalized to the three-class case. We provide new parametric and non-parametric approaches that outperform the Youden based cutoffs in terms of variance and thus narrower confidence intervals are achieved. We further generalize our approaches to address k-class problems. Our approach is illustrated using real data from pancreatic cancer patients from a study conducted at the MD Anderson Cancer Center.


Authors who are presenting talks have a * after their name.

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