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The positive predictive value (PPV), or precision, is defined as = + = where a "true positive" is the event that the test makes a positive prediction, and the subject has a positive result under the gold standard, and a "false positive" is the event that the test makes a positive prediction, and the subject has a negative result under the gold standard.
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In a classification task, the precision for a class is the number of true positives (i.e. the number of items correctly labelled as belonging to the positive class) divided by the total number of elements labelled as belonging to the positive class (i.e. the sum of true positives and false positives, which are items incorrectly labelled as belonging to the class).
PPV is best understood by comparison to two other approaches where a penalty is applied for risk: The risk-adjusted rate of return applies a risk-penalty by increasing the discount rate when calculating the Net Present Value (NPV); The certainty equivalent approach does this by adjusting the cash-flow numerators of the NPV formula.
Understanding Net Present Value (NPV) The net present value uses the present value of cash inflows and the present value of cash outflows to estimate the profitability of an investment or project ...
Using the same method, we get TN = 40 - 3 = 37, and the number of healthy people 37 + 8 = 45, which results in a specificity of 37 / 45 = 82.2 %. For the figure that shows low sensitivity and high specificity, there are 8 FN and 3 FP.
On the other hand, this hypothetical test demonstrates very accurate detection of cancer-free individuals (NPV ≈ 99.5%). Therefore, when used for routine colorectal cancer screening with asymptomatic adults, a negative result supplies important data for the patient and doctor, such as ruling out cancer as the cause of gastrointestinal ...
In clinical practice, post-test probabilities are often just estimated or even guessed. This is usually acceptable in the finding of a pathognomonic sign or symptom, in which case it is almost certain that the target condition is present; or in the absence of finding a sine qua non sign or symptom, in which case it is almost certain that the target condition is absent.