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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleESSAY

Study Design and Analysis in Neuroradiology: A Practical Approach

L. Santiago Medina
American Journal of Neuroradiology October 1999, 20 (9) 1584-1596;
L. Santiago Medina
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    fig 1.

    A and B, Test with a low (A) and high (B) threshold. The sensitivity and specificity of a test changes according to the threshold selected; hence, these diagnostic performance parameters are threshold-dependent. Sensitivity with a low threshold (TPa/diseased patients) is greater than sensitivity with a higher threshold (TPb/diseased patients). Specificity with a low threshold (TNa/nondiseased patients) is less than specificity with a high threshold (TNb/nondiseased patients). TP indicates true positive; TN, true negative; FP, false positive; FN, false negative.

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    fig 2.

    A–C, The perfect test (A) has an area under the curve (AUC) of 1. The useless test (B) has an AUC of 0.5. The typical test (C) has an AUC between 0.5 and 1. The greater the AUC (ie, excellent > good > fair), the better the diagnostic performance

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    fig 3.

    Validity and reliability of a test.

    A, Good validity and reliability means the center of the target is always hit by different gunmen.

    B, Good reliability but poor validity means the same area of the target is hit by different gunmen but off center.

    C, Poor reliability of the test means the bullets are spread out, all over the target, with a few hitting the center. In the hands of a few gunmen a test can be valid, since the center of the target is hit.

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    fig 4.

    A and B, Although the mean is the same for study populations of both small (A) and large (B) patient samples, the CI narrows as the number of subjects increases.

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    fig 5.

    Flow diagram summarizes the key steps required to do sound clinical research

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American Journal of Neuroradiology
Vol. 20, Issue 9
1 Oct 1999
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L. Santiago Medina
Study Design and Analysis in Neuroradiology: A Practical Approach
American Journal of Neuroradiology Oct 1999, 20 (9) 1584-1596;

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Study Design and Analysis in Neuroradiology: A Practical Approach
L. Santiago Medina
American Journal of Neuroradiology Oct 1999, 20 (9) 1584-1596;
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    • Assessing the Research Field
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    • How Much Does the Research Study Cost?
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    • Sound Research Is Not Done Overnight
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