Likelihood-based Nonparametric Receiver Operating Characteristic Curve Analysis in the Presence of Imperfect Reference Standard

Fuente: arXiv
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Autori principali: Sun, Yifan, Sang, Peijun, Tian, Qinglong, Li, Pengfei
Natura: Preprint
Pubblicazione: 2025
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author Sun, Yifan
Sang, Peijun
Tian, Qinglong
Li, Pengfei
author_facet Sun, Yifan
Sang, Peijun
Tian, Qinglong
Li, Pengfei
contents In diagnostic studies, researchers frequently encounter imperfect reference standards with some misclassified labels. Treating these as gold standards can bias receiver operating characteristic (ROC) curve analysis. To address this issue, we propose a novel likelihood-based method under a nonparametric density ratio model. This approach enables the reliable estimation of the ROC curve, area under the curve (AUC), partial AUC, and Youden's index with favorable statistical properties. To implement the method, we develop an efficient expectation-maximization algorithm algorithm. Extensive simulations evaluate its finite-sample performance, showing smaller mean squared errors in estimating the ROC curve, partial AUC, and Youden's index compared to existing methods. We apply the proposed approach to a malaria study.
format Preprint
id arxiv_https___arxiv_org_abs_2502_08569
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Likelihood-based Nonparametric Receiver Operating Characteristic Curve Analysis in the Presence of Imperfect Reference Standard
Sun, Yifan
Sang, Peijun
Tian, Qinglong
Li, Pengfei
Methodology
In diagnostic studies, researchers frequently encounter imperfect reference standards with some misclassified labels. Treating these as gold standards can bias receiver operating characteristic (ROC) curve analysis. To address this issue, we propose a novel likelihood-based method under a nonparametric density ratio model. This approach enables the reliable estimation of the ROC curve, area under the curve (AUC), partial AUC, and Youden's index with favorable statistical properties. To implement the method, we develop an efficient expectation-maximization algorithm algorithm. Extensive simulations evaluate its finite-sample performance, showing smaller mean squared errors in estimating the ROC curve, partial AUC, and Youden's index compared to existing methods. We apply the proposed approach to a malaria study.
title Likelihood-based Nonparametric Receiver Operating Characteristic Curve Analysis in the Presence of Imperfect Reference Standard
topic Methodology
url https://arxiv.org/abs/2502.08569