title: A probabilistic model for the MRMC method, part 1: theoretical development.
abstract: OBJECTIVE
  Current approaches to receiver operating characteristic (ROC) analysis use the MRMC (multiple-reader, multiple-case) paradigm in which several readers read each case and their ratings (or scores) are used to construct an estimate of the area under the ROC curve or some other ROC-related parameter. Standard practice is to decompose the parameter of interest according to a linear model into terms that depend in various ways on the readers, cases, and modalities. Though the methodologic aspects of MRMC analysis have been studied in detail, the literature on the probabilistic basis of the individual terms is sparse. In particular, few articles state what probability law applies to each term and what underlying assumptions are needed for the assumed independence. When probability distributions are specified for these terms, these distributions are assumed to be Gaussians.
  
  
  METHODS
  This article approaches the MRMC problem from a mechanistic perspective. For a single modality, three sources of randomness are included: the images, the reader skill, and the reader uncertainty. The probability law on the reader scores is written in terms of three nested conditional probabilities, and random variables associated with this probability are referred to as triply stochastic.
  
  
  RESULTS
  In this article, we present the probabilistic MRMC model and apply this model to the Wilcoxon statistic. The result is a seven-term expansion for the variance of the figure of merit.
  
  
  CONCLUSIONS
  We relate the terms in this expansion to those in the standard, linear MRMC model. Finally, we use the probabilistic model to derive constraints on the coefficients in the seven-term expansion.
authors.affiliation: College of Optical Sciences, The University of Arizona, 1630 East University Blvd., Tucson, AZ 85721, USA. clarkson@radiology.arizona.edu
authors.forename: Eric
authors.initials: E
authors.lastname: Clarkson
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Kupinski
authors.forename: Harrison H
authors.initials: HH
authors.lastname: Barrett
mesh_terms: D000704:Analysis of Variance; D003198:Computer Simulation / Q000706:statistics & numerical data; D003952:Diagnostic Imaging / Q000706:statistics & numerical data*; D008432:Mathematical Computing; D015233:Models, Statistical; D015588:Observer Variation; D012372:ROC Curve; D018709:Statistics, Nonparametric