The use of receiver operating characteristic curves in biomedical informatics

  • Authors:
  • Thomas A. Lasko;Jui G. Bhagwat;Kelly H. Zou;Lucila Ohno-Machado

  • Affiliations:
  • Decision Systems Group, Brigham and Women's Hospital, Harvard Medical School, Boston, MA and Computer Science and Artificial Intelligence Laboratory, Massachusetts Institute of Technology;Department of Radiology, Brigham and Women's Hospital;Department of Radiology, Brigham and Women's Hospital and Department of Health Care Policy, Harvard Medical School;Decision Systems Group, Brigham and Women's Hospital, Harvard Medical School, Boston, MA and Department of Radiology, Brigham and Women's Hospital

  • Venue:
  • Journal of Biomedical Informatics - Special issue: Clinical machine learning
  • Year:
  • 2005

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Abstract

Receiver operating characteristic (ROC) curves are frequently used in biomedical informatics research to evaluate classification and prediction models for decision support, diagnosis, and prognosis. ROC analysis investigates the accuracy of a model's ability to separate positive from negative cases (such as predicting the presence or absence of disease), and the results are independent of the prevalence of positive cases in the study population. It is especially useful in evaluating predictive models or other tests that produce output values over a continuous range, since it captures the trade-off between sensitivity and specificity over that range. There are many ways to conduct an ROC analysis. The best approach depends on the experiment; an inappropriate approach can easily lead to incorrect conclusions. In this article, we review the basic concepts of ROC analysis, illustrate their use with sample calculations, make recommendations drawn from the literature, and list readily available software.