Combining Biomarkers to Improve Diagnostic Accuracy in Detecting Diseases With Group-Tested Data.

IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Statistics in Medicine Pub Date : 2024-11-30 Epub Date: 2024-10-07 DOI:10.1002/sim.10230
Jin Yang, Wei Zhang, Paul S Albert, Aiyi Liu, Zhen Chen
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Abstract

We consider the problem of combining multiple biomarkers to improve the diagnostic accuracy of detecting a disease when only group-tested data on the disease status are available. There are several challenges in addressing this problem, including unavailable individual disease statuses, differential misclassification depending on group size and number of diseased individuals in the group, and extensive computation due to a large number of possible combinations of multiple biomarkers. To tackle these issues, we propose a pairwise model fitting approach to estimating the distribution of the optimal linear combination of biomarkers and its diagnostic accuracy under the assumption of a multivariate normal distribution. The approach is evaluated in simulation studies and applied to data on chlamydia detection and COVID-19 diagnosis.

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结合生物标志物,利用群体测试数据提高疾病诊断准确性
我们考虑的问题是,在只有关于疾病状态的群体测试数据的情况下,如何结合多种生物标记物来提高检测疾病的诊断准确性。解决这个问题有几个挑战,包括无法获得个体疾病状态、因群体规模和群体中患病个体数量不同而导致的分类错误,以及多种生物标记物的大量可能组合所导致的大量计算。为了解决这些问题,我们提出了一种成对模型拟合方法,在多变量正态分布的假设下,估计生物标记物最佳线性组合的分布及其诊断准确性。我们在模拟研究中对该方法进行了评估,并将其应用于衣原体检测和 COVID-19 诊断数据中。
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来源期刊
Statistics in Medicine
Statistics in Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.40
自引率
10.00%
发文量
334
审稿时长
2-4 weeks
期刊介绍: The journal aims to influence practice in medicine and its associated sciences through the publication of papers on statistical and other quantitative methods. Papers will explain new methods and demonstrate their application, preferably through a substantive, real, motivating example or a comprehensive evaluation based on an illustrative example. Alternatively, papers will report on case-studies where creative use or technical generalizations of established methodology is directed towards a substantive application. Reviews of, and tutorials on, general topics relevant to the application of statistics to medicine will also be published. The main criteria for publication are appropriateness of the statistical methods to a particular medical problem and clarity of exposition. Papers with primarily mathematical content will be excluded. The journal aims to enhance communication between statisticians, clinicians and medical researchers.
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