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Clinical Chemistry 39: 561-577, 1993;
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Clinical Chemistry, Vol 39, 561-577, Copyright © 1993 by American Association for Clinical Chemistry

Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine [published erratum appears in Clin Chem 1993 Aug;39(8):1589]

MH Zweig and G Campbell
Clinical Pathology Department, Warren G. Magnuson Clinical Center, Bethesda, MD.

The clinical performance of a laboratory test can be described in terms of diagnostic accuracy, or the ability to correctly classify subjects into clinically relevant subgroups. Diagnostic accuracy refers to the quality of the information provided by the classification device and should be distinguished from the usefulness, or actual practical value, of the information. Receiver-operating characteristic (ROC) plots provide a pure index of accuracy by demonstrating the limits of a test's ability to discriminate between alternative states of health over the complete spectrum of operating conditions. Furthermore, ROC plots occupy a central or unifying position in the process of assessing and using diagnostic tools. Once the plot is generated, a user can readily go on to many other activities such as performing quantitative ROC analysis and comparisons of tests, using likelihood ratio to revise the probability of disease in individual subjects, selecting decision thresholds, using logistic-regression analysis, using discriminant- function analysis, or incorporating the tool into a clinical strategy by using decision analysis.


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