New version of a diagnostic blood test

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Reference no: EM131015196

One goal of diagnostic medicine is to develop non-invasive tests to replace, or at least precede, invasive tests. For example, one might  want  to  develop a blood test for liver disease, which alternatively can be tested with a liver biopsy. Two critical measures of goodness for a diagnostic test are the sen­ sitivity of the test, that  is, the proportion of truly positive  subjects  that test positive; and the specificity of the test, the proportion of truly negative subjects that test negative.

Suppose researchers have just discovered a new version of a diagnostic blood test. Data from 100 subjects were collected. Sixty of the subjects were known healthy patients and 40 had liver disease. The test results are  given below.

 

Test Result Pos       Neg

 

Known Result

Pos

38

2

40

 

Neg

8

52

60

46

54

100

(a) Estimate the sensitivity and specificity of the test using 95% confidence intervals.

(b) How large a sample of healthy subjects is needed to estimate specificity within 0.05 units with confidence of 95%?

(c) What is the power of this test to detect an increase of 0.03?

(d) A previous version of this diagnostic test had sensitivity 0.90. Using = 0.05, test to see if the sensitivity of the  new  improved  test is greater.

 

Reference no: EM131015196

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