Statistical issues in analysis of diagnostic imaging experiments with multiple observations per patient Journal Article


Authors: Gönen, M.; Panageas, K. S.; Larson, S. M.
Article Title: Statistical issues in analysis of diagnostic imaging experiments with multiple observations per patient
Abstract: Many diagnostic imaging experiments are characterized by the presence of several observations for each patient studied. Evaluation of metastases with different imaging modalities in patients with cancer or examination of multiple artery segments in patients with heart abnormalities are some examples of such studies. Data obtained from multiple observations per patient are cluster correlated and should not be analyzed by using standard statistical methods because of correlations within a subject. In this article, positron emission tomographic studies are used as a framework to review statistical methods for the analysis of clustered data. Some simple statistical methods that account for correlation within a subject and that can be applied to conventional and well-known statistical methods, such as the Xχ2 and t tests, are introduced. One of these methods is illustrated by using a brief analysis of data from a positron emission tomographic study, which demonstrates how resulting conclusions may be incorrect if appropriate techniques are not applied. Alternative methods that can handle multiple observations and dependency within a subject for diagnostic imaging studies are discussed.
Keywords: bone neoplasms; positron emission tomography; metastasis; cluster analysis; diagnostic imaging; prostate-specific antigen; prostatic neoplasms; imaging system; statistical analysis; data interpretation, statistical; roc curve; positron emission tomography (pet); tomography, emission-computed; mathematical analysis; humans; male; priority journal; article; special reports
Journal Title: Radiology
Volume: 221
Issue: 3
ISSN: 0033-8419
Publisher: Radiological Society of North America, Inc.  
Date Published: 2001-12-01
Start Page: 763
End Page: 767
Language: English
PUBMED: 11719674
PROVIDER: scopus
DOI: 10.1148/radiol.2212010280
DOI/URL:
Notes: Export Date: 21 May 2015 -- Source: Scopus
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MSK Authors
  1. Mithat Gonen
    967 Gonen
  2. Katherine S Panageas
    483 Panageas
  3. Steven M Larson
    943 Larson
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