PMID- 24410929 OWN - NLM STAT- MEDLINE DCOM- 20140903 LR - 20211021 IS - 1756-0500 (Electronic) IS - 1756-0500 (Linking) VI - 7 DP - 2014 Jan 10 TI - Biomarker selection for medical diagnosis using the partial area under the ROC curve. PG - 25 LID - 10.1186/1756-0500-7-25 [doi] AB - BACKGROUND: A biomarker is usually used as a diagnostic or assessment tool in medical research. Finding an ideal biomarker is not easy and combining multiple biomarkers provides a promising alternative. Moreover, some biomarkers based on the optimal linear combination do not have enough discriminatory power. As a result, the aim of this study was to find the significant biomarkers based on the optimal linear combination maximizing the pAUC for assessment of the biomarkers. METHODS: Under the binormality assumption we obtain the optimal linear combination of biomarkers maximizing the partial area under the receiver operating characteristic curve (pAUC). Related statistical tests are developed for assessment of a biomarker set and of an individual biomarker. Stepwise biomarker selections are introduced to identify those biomarkers of statistical significance. RESULTS: The results of simulation study and three real examples, Duchenne Muscular Dystrophy disease, heart disease, and breast tissue example are used to show that our methods are most suitable biomarker selection for the data sets of a moderate number of biomarkers. CONCLUSIONS: Our proposed biomarker selection approaches can be used to find the significant biomarkers based on hypothesis testing. FAU - Hsu, Man-Jen AU - Hsu MJ AD - Institute of Statistical Science, Academia Sinica, Taipei 11529, Taiwan. 95354503@nccu.edu.tw. FAU - Chang, Yuan-Chin Ivan AU - Chang YC FAU - Hsueh, Huey-Miin AU - Hsueh HM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140110 PL - England TA - BMC Res Notes JT - BMC research notes JID - 101462768 RN - 0 (Biomarkers) SB - IM MH - Algorithms MH - Area Under Curve MH - Biomarkers/*analysis MH - Breast Diseases/pathology MH - Computer Simulation MH - Coronary Artery Disease/blood MH - *Diagnosis MH - Electric Impedance MH - Genetic Carrier Screening MH - Muscular Dystrophy, Duchenne/blood/genetics MH - Normal Distribution MH - *ROC Curve MH - Sensitivity and Specificity PMC - PMC3923449 EDAT- 2014/01/15 06:00 MHDA- 2014/09/04 06:00 PMCR- 2014/01/10 CRDT- 2014/01/14 06:00 PHST- 2013/09/25 00:00 [received] PHST- 2013/12/23 00:00 [accepted] PHST- 2014/01/14 06:00 [entrez] PHST- 2014/01/15 06:00 [pubmed] PHST- 2014/09/04 06:00 [medline] PHST- 2014/01/10 00:00 [pmc-release] AID - 1756-0500-7-25 [pii] AID - 10.1186/1756-0500-7-25 [doi] PST - epublish SO - BMC Res Notes. 2014 Jan 10;7:25. doi: 10.1186/1756-0500-7-25.