| name | biomarker-roc |
| description | Evaluate biomarker performance with ROC analysis, AUC, sensitivity, and specificity. |
Biomarker ROC Analysis
Evaluate biomarker diagnostic or prognostic performance.
Metrics
- AUC: Area under ROC curve
- Sensitivity: True positive rate
- Specificity: True negative rate
- PPV: Positive predictive value
- NPV: Negative predictive value
- Optimal cutoff: Youden index or clinical threshold
Workflow
- Extract study data (contingency table or raw values)
- Calculate sensitivity/specificity at various cutoffs
- Compute AUC with 95% CI (DeLong method)
- Compare with existing biomarkers
- Assess clinical utility (does it change management?)
Output
# Biomarker ROC: [biomarker] in [disease]
## Study Data
| Study | N | Cases | Controls | AUC (95% CI) | Cutoff | Sen | Spe |
## Meta-Analysis (if ≥3 studies)
- Pooled AUC
- Heterogeneity
## Clinical Utility
- Incremental value over standard markers
- Cost-effectiveness (if data available)
## Validation Gaps
Save to outputs/biomarker-roc-<slug>.md.