Relative entropy as a measure of diagnostic information

被引:34
作者
Benish, WA [1 ]
机构
[1] Case Western Reserve Univ, Dept Internal Med, Cleveland, OH 44106 USA
关键词
diagnostic test; entropy; information theory; relative entropy; uncertainty;
D O I
10.1177/0272989X9901900211
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Relative entropy is a concept within information theory that provides a measure of the distance between two probability distributions. The author proposes that the amount of information gained by performing a diagnostic test can be quantified by calculating the relative entropy between the posttest and pretest probability distributions. This statistic, in essence, quantifies the degree to which the results of a diagnostic test are likely to reduce our surprise upon ultimately learning a patient's diagnosis. A previously proposed measure of diagnostic information that is also based on information theory (pretest entropy minus posttest entropy) has been criticized as failing, in some cases. to agree with our intuitive concept of diagnostic information. The proposed formula passes the tests used to challenge this previous measure.
引用
收藏
页码:202 / 206
页数:5
相关论文
共 15 条
[1]   PROGNOSTIC INFORMATION VERSUS ACCURACY - ONCE MORE WITH MEANING - REPLY [J].
ASCH, DA ;
PATTON, JP ;
HERSHEY, JC .
MEDICAL DECISION MAKING, 1991, 11 (01) :45-47
[2]   KNOWING FOR THE SAKE OF KNOWING - THE VALUE OF PROGNOSTIC INFORMATION [J].
ASCH, DA ;
PATTON, JP ;
HERSHEY, JC .
MEDICAL DECISION MAKING, 1990, 10 (01) :47-57
[3]  
Coombs C. H., 1970, MATH PSYCHOL
[4]  
Cover T. M., 2005, ELEM INF THEORY, DOI 10.1002/047174882X
[5]   APPLICATION OF INFORMATION-THEORY TO CLINICAL DIAGNOSTIC TESTING - THE ELECTROCARDIOGRAPHIC STRESS TEST [J].
DIAMOND, GA ;
HIRSCH, M ;
FORRESTER, JS ;
STANILOFF, HM ;
VAS, R ;
HALPERN, SW ;
SWAN, HJC .
CIRCULATION, 1981, 63 (04) :915-921
[6]   POINT OF INFORMATION [J].
DIAMOND, GA .
MEDICAL DECISION MAKING, 1991, 11 (01) :42-44
[7]   ON INFORMATION AND SUFFICIENCY [J].
KULLBACK, S ;
LEIBLER, RA .
ANNALS OF MATHEMATICAL STATISTICS, 1951, 22 (01) :79-86
[8]  
KULLBACK S, 1959, INFORMATION THEORY S
[9]  
PANZER RJ, 1991, DIAGNOSTIC STRATEGIE
[10]  
ROMAN S, 1997, INTRO CODING INFORMA