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MATLAB toolbox for ROC analysis of multi-reader multi-case diagnostic imaging studies
Conference proceeding

MATLAB toolbox for ROC analysis of multi-reader multi-case diagnostic imaging studies

Brian J. Smith and Stephen L. Hillis
Medical Imaging 2022: Image Perception, Observer Performance, and Technology Assessment, Vol.12035, pp.120350G-120350G-13
04/04/2022
DOI: 10.1117/12.2610663
PMCID: PMC9504162
PMID: 36159880
url
https://www.ncbi.nlm.nih.gov/pmc/articles/9504162View
Open Access

Abstract

A common study design for comparing the performances of diagnostic imaging tests is to obtain ratings from multiple readers of multiple cases whose true statuses are known. Typically, there is overlap between the tests, readers, and/or cases for which special analytical methods are needed to perform statistical comparisons. We present our new MATLAB MRMCaov toolbox, which is designed for multi-reader multi-case comparisons of two or more diagnostic tests. The toolbox allows for statistical comparison of reader performance metrics, such as area under the receiver operating characteristic curve (ROC AUC), with analysis of variance methods originally proposed by Obuchowski and Rockette (1995) and later unified and improved by Hillis and colleagues (2005, 2007, 2008, 2018). MRMCaov is open-source software with an integrated command-line interface for performing multi-reader multi-case statistical analysis, plotting, and presenting results. Its features (1) ROC AUC, likelihood ratios of positive or negative ratings, sensitivity, specificity, and expected utility reader performance metrics; (2) reader-specific ROC curves; (3) user-definable performance metrics; (4) test-specific estimates of mean performance along with confidence intervals and p-values for statistical comparisons; (5) support for factorial, nested, or partially paired study designs; (6) inference for random or fixed readers and cases; (7) DeLong, jackknife, or unbiased covariance estimation; and (8) compatibility with Microsoft Windows, Mac OS, and Linux.

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