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Relationship between Obuchowski-Rockette-Hillis and Gallas methods for analyzing multi-reader diagnostic imaging data with empirical AUC as the reader performance measure
Journal article

Relationship between Obuchowski-Rockette-Hillis and Gallas methods for analyzing multi-reader diagnostic imaging data with empirical AUC as the reader performance measure

Stephen L. Hillis
Biostatistics & epidemiology (Oxford, UK), Vol.7(1), e2062115
2023
DOI: 10.1080/24709360.2022.2062115
PMCID: PMC10500550
PMID: 37719421

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Abstract

For analyzing multireader multicase (MRMC) diagnostic imaging data when the reader performance measure of interest is the area under the receiver-operating-characteristic curve (AUC), two popular methods of analysis that allow conclusions to generalize to both the reader and case populations are the method developed by Obuchowski, Rockette and Hillis (ORH) and the method primarily developed by Gallas (Gallas). While the ORH method is a general method that is applicable to most reader performance metrics, the Gallas method is limited to those metrics for which an unbiased variance estimate exists. Previously it was not known if the ORH method could be adapted so as to produce the same variance estimate as the Gallas method. In this paper, I show that a recently proposed version of the OR method produces the same unconstrained variance statistic as the Gallas method. However, the two methods differ in their approaches to constraining the variance estimate to be nonnegative and in their degrees-of-freedom estimates. These two differences are discussed and recommendations given. In addition, several contributions to the development of the ORH method are made, including determining sufficient conditions for unbiased variance estimates and providing justification for the ORH variance constraints and covariance estimation method.
area under the ROC curve diagnostic radiology Gallas Obuchowski-Rockette receiver-operating-characteristic curve

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