ROC analysis with multiple classes and multiple tests: methodology and its application in microarray studies.

The accuracy of a single diagnostic test for binary outcome can be summarized by the area under the receiver operating characteristic (ROC) curve. Volume under the surface and hypervolume under the manifold have been proposed as extensions for multiple class diagnosis (Scurfield, 1996, 1998). However, the lack of simple inferential procedures for such measures has limited their practical utility. Part of the difficulty is that calculating such quantities may not be straightforward, even with a single test. The decision rule used to generate the ROC surface requires class probability assessments, which are not provided by the tests. We develop a method based on estimating the probabilities via some procedure, for example, multinomial logistic regression. Bootstrap inferences are proposed to account for variability in estimating the probabilities and perform well in simulations. The ROC measures are compared to the correct classification rate, which depends heavily on class prevalences. An example of tumor classification with microarray data demonstrates that this property may lead to substantially different analyses. The ROC-based analysis yields notable decreases in model complexity over previous analyses. [ABSTRACT FROM AUTHOR]