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Science 24 August 1979:
Vol. 205. no. 4408, pp. 753 - 759
DOI: 10.1126/science.462188
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Articles

Science, Vol 205, Issue 4408, 753-759
Copyright © 1979 by American Association for the Advancement of Science

articles

Assessment of diagnostic technologies

JA Swets, RM Pickett, SF Whitehead, DJ Getty, JA Schnur, JB Swets, and BA Freeman

A general protocol for rigorous evaluation of diagnostic systems in medicine was applied successfully in a comparative study of two radiologic techniques. Accuracies of computed tomography and radionuclide scanning in detecting, localizing, and diagnosing brain lesions were assessed with a sample of patients in whom tumor had been suspected. The principal means of analysis was the "relative operating characteristic," which is unique in providing a measure of accuracy that is largely independent of decision biases. Computed tomography was found to be substantially more accurate than radionuclide scanning.


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References.
(2008)
J. ICRU 8, 57-62
   PDF »
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N. V. Greidanus, B. A. Masri, D. S. Garbuz, S. D. Wilson, M. G. McAlinden, M. Xu, and C. P. Duncan (2007)
J. Bone Joint Surg. Am. 89, 1409-1416
   Abstract »    Full Text »    PDF »
Reader Variability in Mammography and Its Implications for Expected Utility over the Population of Readers and Cases.
R. F. Wagner, C. A. Beam, and S. V. Beiden (2004)
Med Decis Making 24, 561-572
   Abstract »    PDF »
Perceived Visual Ability for Functional Vision Performance among Persons with Low Vision in the Indian State of Andhra Pradesh.
R. Nutheti, B. R. Shamanna, S. Krishnaiah, V. K. Gothwal, R. Thomas, and G. N. Rao (2004)
Invest. Ophthalmol. Vis. Sci. 45, 3458-3465
   Abstract »    Full Text »    PDF »
A Self-Assessment Instrument Designed for Measuring Independent Mobility in RP Patients: Generalizability to Glaucoma Patients.
K. A. Turano, R. W. Massof, and H. A. Quigley (2002)
Invest. Ophthalmol. Vis. Sci. 43, 2874-2881
   Abstract »    Full Text »    PDF »
Open-ring imaging sign: Highly specific for atypical brain demyelination.
J. C. Masdeu, C. Quinto, C. Olivera, M. Tenner, D. Leslie, and P. Visintainer (2000)
Neurology 54, 1427-1433
   Abstract »    Full Text »    PDF »
PREDICTIVE VALUE OF S-100{beta} AND NEURON-SPECIFIC ENOLASE SERUM LEVELS FOR ADVERSE NEUROLOGIC OUTCOME AFTER CARDIAC SURGERY.
D. Georgiadis, A. Berger, E. Kowatschev, C. Lautenschlager, A. Borner, A. Lindner, W. Schulte-Mattler, H.-R. Zerkowski, S. Zierz, and T. Deufel (2000)
J. Thorac. Cardiovasc. Surg. 119, 138-147
   Abstract »    Full Text »    PDF »
Diagnostic Utility of the WISC-III Developmental Index as a Predictor of Learning Disabilities.
M. W. Watkins (1996)
J Learn Disabil 29, 305-312
   Abstract »    PDF »
Clinical Relevance of Intracranial Microembolic Signals in Patients With Left Ventricular Assist Devices : A Prospective Study.
D.G. Nabavi, D. Georgiadis, T. Mumme, C. Schmid, T.G. Mackay, H.H. Scheld, and E.B. Ringelstein (1996)
Stroke 27, 891-896
   Abstract »    Full Text »
Comparison of the Clinical Informativeness of Photographs and Digital Imaging Media With Multiple-Choice Receiver Operating Characteristic Analysis.
D. A. Perednia, J. A. Gaines, and T. W. Butruille (1995)
Arch Dermatol 131, 292-297
   Abstract »    PDF »
Validation of Probabilistic Predictions.
M. E. Miller, C. D. Langefeld, W. M. Tierney, S. L. Hui, and C. J. McDonald (1993)
Med Decis Making 13, 49-57
   Abstract »    PDF »
Evaluation of Methods for Automated Hemifield Analysis in Perimetry.
P. Asman and A. Heijl (1992)
Arch Ophthalmol 110, 820-826
   Abstract »    PDF »
Evaluation of the Predictive Performance of Nutritional Indicators by Receiver-Operating Characteristic Curve Analysis.
M. Braga, L. Gianotti, G. Radaelli, M. Cristallo, P. Baccari, S. Dal Cin, and V. Di Carlo (1991)
JPEN J Parenter Enteral Nutr 15, 619-624
   Abstract »    PDF »
Analyzing a Portion of the ROC Curve.
D. K. McClish (1989)
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   Abstract »    PDF »
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D. Mossman and E. Somoza (1989)
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   Abstract »    PDF »
Diagnosing Diagnoses: Receiver Operating Characteristic Methods and Psychiatry.
J. K. Hsiao, J. J. Bartko, and W. Z. Potter (1989)
Arch Gen Psychiatry 46, 664-667
   Abstract »    PDF »
A Clinical Study of Perimetric Probability Maps.
A. Heijl and P. Asman (1989)
Arch Ophthalmol 107, 199-203
   Abstract »    PDF »
Eualuating Physicians' Probabilistic Judgments.
R. M. Poses, R. D. Cebul, and R. M. Centor (1988)
Med Decis Making 8, 233-240
   Abstract »    PDF »
Focusing Technology Assessment Using Medical Decision Theory.
C. E. Phelps and A. I. Mushlin (1988)
Med Decis Making 8, 279-289
   Abstract »    PDF »
PET Scans and Technology Assessment.
T. C. Chalmers (1988)
JAMA 260, 2713-2715
   Abstract »    PDF »
The Poor Quality of Early Evaluations of Magnetic Resonance Imaging.
L. S. Cooper, T. C. Chalmers, M. McCally, J. Berrier, and H. S. Sacks (1988)
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   Abstract »    PDF »
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J. Swets (1988)
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   Abstract »    PDF »
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W. T. Longstreth Jr, T. D. Koepsell, and G. van Belle (1987)
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   Abstract »    PDF »
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D. K. McClish (1987)
Med Decis Making 7, 149-155
   Abstract »    PDF »
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J. M. Murphy, D. M. Berwick, M. C. Weinstein, J. F. Borus, S. H. Budman, and G. L. Klerman (1987)
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   Abstract »    PDF »
Interobserver Reliability in the Interpretation of Computed Tomographic Scans of Stroke Patients.
D. Shinar, C. R. Gross, D. B. Hier, L. R. Caplan, J. P. Mohr, T. R. Price, P. A. Wolf, C. S. Kase, I. G. Fishman, J. A. Barwick, et al. (1987)
Arch Neurol 44, 149-155
   Abstract »    PDF »
Impact of Computed Tomography on Stroke Management and Outcome.
A. E. Hazelton and M. P. Earnest (1987)
Arch Intern Med 147, 217-220
   Abstract »    PDF »
Validation of a Model to Identify Young Patients for Lymph Node Biopsy.
G. B Slap, J. L. Connor, R. S. Wigton, and J. S. Schwartz (1986)
JAMA 255, 2768-2773
   Abstract »    PDF »
A Visicalc Program for Estimating the Area Under a Receiver Operating Characteristic (ROC) Curve.
R. M. Centor (1985)
Med Decis Making 5, 139-148
   PDF »
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G. B. Slap, J. S. J. Brooks, and J. S. Schwartz (1984)
JAMA 252, 1321-1326
   Abstract »    PDF »
Visual sustained attention: image degradation produces rapid sensitivity decrement over time.
K. Nuechterlein, R Parasuraman, and Q Jiang (1983)
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   Abstract »    PDF »
A Mathematical Approach to Interpretation and Selection of Diagnostic Tests.
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