Given a data set, a classification (the output of a classifier on that set) gives two numbers: the number of positives and the number of negatives, which add up to the total size of the set. To evaluate a classifier, one compares its output to another reference classification – ideally a perfect classification, but in practice the output of another gold standard test – and cross tabulates the data into a 2×2 contingency table, comparing the two classifications. One then evaluates the classifier relative to the gold standard by computing summary statistics of these 4 numbers. Generally these statistics will be scale invariant (scaling all the numbers by the same factor does not change the output), to make them independent of population size, which is achieved by using ratios of homogeneous functions, most simply homogeneous linear or homogeneous quadratic functions.

Say we test some people for the presence of a disease. Some of these people have the disease, and our test correctly says they are positive. They are called true positives (TP). Some have the disease, but the test incorrectly claims they don't. They are called false negatives (FN). Some don't have the disease, and the test says they don't – true negatives (TN). Finally, there might be healthy people who have a positive test result – false positives (FP). These can be arranged into a 2×2 contingency table (confusion matrix), conventionally with the test result on the vertical axis and the actual condition on the horizontal axis.

These numbers can then be totaled, yielding both a grand total and marginal totals. Totaling the entire table, the number of true positives, false negatives, true negatives, and false positives add up to 100% of the set. Totaling the columns (adding vertically) the number of true positives and false positives add up to 100% of the test positives, and likewise for negatives. Totaling the rows (adding horizontally), the number of true positives and false negatives add up to 100% of the condition positives (conversely for negatives). The basic marginal ratio statistics are obtained by dividing the 2×2=4 values in the table by the marginal totals (either rows or columns), yielding 2 auxiliary 2×2 tables, for a total of 8 ratios. These ratios come in 4 complementary pairs, each pair summing to 1, and so each of these derived 2×2 tables can be summarized as a pair of 2 numbers, together with their complements. Further statistics can be obtained by taking ratios of these ratios, ratios of ratios, or more complicated functions.

The contingency table and the most common derived ratios are summarized below; see sequel for details.

Note that the rows correspond to the condition actually being positive or negative (or classified as such by the gold standard), as indicated by the color-coding, and the associated statistics are prevalence-independent, while the columns correspond to the test being positive or negative, and the associated statistics are prevalence-dependent. There are analogous likelihood ratios for prediction values, but these are less commonly used, and not depicted above.

The fundamental prevalence-independent statistics are sensitivity and specificity.

Sensitivity or True Positive Rate (TPR), also known as recall, is the proportion of people that tested positive and are positive (True Positive, TP) of all the people that actually are positive (Condition Positive, CP = TP + FN). It can be seen as the probability that the test is positive given that the patient is sick. With higher sensitivity, fewer actual cases of disease go undetected (or, in the case of the factory quality control, fewer faulty products go to the market).

Specificity (SPC) or True Negative Rate (TNR) is the proportion of people that tested negative and are negative (True Negative, TN) of all the people that actually are negative (Condition Negative, CN = TN + FP). As with sensitivity, it can be looked at as the probability that the test result is negative given that the patient is not sick. With higher specificity, fewer healthy people are labeled as sick (or, in the factory case, fewer good products are discarded).

The relationship between sensitivity and specificity, as well as the performance of the classifier, can be visualized and studied using the Receiver Operating Characteristic (ROC) curve.

In theory, sensitivity and specificity are independent in the sense that it is possible to achieve 100% in both (such as in the red/blue ball example given above). In more practical, less contrived instances, however, there is usually a trade-off, such that they are inversely proportional to one another to some extent. This is because we rarely measure the actual thing we would like to classify; rather, we generally measure an indicator of the thing we would like to classify, referred to as a surrogate marker. The reason why 100% is achievable in the ball example is because redness and blueness is determined by directly detecting redness and blueness. However, indicators are sometimes compromised, such as when non-indicators mimic indicators or when indicators are time-dependent, only becoming evident after a certain lag time. The following example of a pregnancy test will make use of such an indicator.

Modern pregnancy tests do not use the pregnancy itself to determine pregnancy status; rather, human chorionic gonadotropin is used, or hCG, present in the urine of gravid females, as a surrogate marker to indicate that a woman is pregnant. Because hCG can also be produced by a tumor, the specificity of modern pregnancy tests cannot be 100% (because false positives are possible). Also, because hCG is present in the urine in such small concentrations after fertilization and early embryogenesis, the sensitivity of modern pregnancy tests cannot be 100% (because false negatives are possible).

Likelihood ratios edit

In addition to sensitivity and specificity, the performance of a binary classification test can be measured with positive predictive value (PPV), also known as precision, and negative predictive value (NPV). The positive prediction value answers the question "If the test result is positive, how well does that predict an actual presence of disease?". It is calculated as TP/(TP + FP); that is, it is the proportion of true positives out of all positive results. The negative prediction value is the same, but for negatives, naturally.

Impact of prevalence on prediction values edit

Prevalence has a significant impact on prediction values. As an example, suppose there is a test for a disease with 99% sensitivity and 99% specificity. If 2000 people are tested and the prevalence (in the sample) is 50%, 1000 of them are sick and 1000 of them are healthy. Thus about 990 true positives and 990 true negatives are likely, with 10 false positives and 10 false negatives. The positive and negative prediction values would be 99%, so there can be high confidence in the result.

However, if the prevalence is only 5%, so of the 2000 people only 100 are really sick, then the prediction values change significantly. The likely result is 99 true positives, 1 false negative, 1881 true negatives and 19 false positives. Of the 19+99 people tested positive, only 99 really have the disease – that means, intuitively, that given that a patient's test result is positive, there is only 84% chance that they really have the disease. On the other hand, given that the patient's test result is negative, there is only 1 chance in 1882, or 0.05% probability, that the patient has the disease despite the test result.

Likelihood ratios edit

Precision and recall can be interpreted as (estimated) conditional probabilities: Precision is given by ${\displaystyle P(C=P|{\hat {C}}=P)}$  while recall is given by ${\displaystyle P({\hat {C}}=P|C=P)}$ ,^[9] where ${\displaystyle {\hat {C}}}$  is the predicted class and ${\displaystyle C}$  is the actual class. Both quantities are therefore connected by Bayes' theorem.

Relationships edit

There are various relationships between these ratios.

If the prevalence, sensitivity, and specificity are known, the positive predictive value can be obtained from the following identity:

${\displaystyle {\text{PPV}}={\frac {({\text{sensitivity}})({\text{prevalence}})}{({\text{sensitivity}})({\text{prevalence}})+(1-{\text{specificity}})(1-{\text{prevalence}})}}}$ 

If the prevalence, sensitivity, and specificity are known, the negative predictive value can be obtained from the following identity:

${\displaystyle {\text{NPV}}={\frac {({\text{specificity}})(1-{\text{prevalence}})}{({\text{specificity}})(1-{\text{prevalence}})+(1-{\text{sensitivity}})({\text{prevalence}})}}.}$ 

In addition to the paired metrics, there are also single metrics that give a single number to evaluate the test.

Perhaps the simplest statistic is accuracy or fraction correct (FC), which measures the fraction of all instances that are correctly categorized; it is the ratio of the number of correct classifications to the total number of correct or incorrect classifications: (TP + TN)/total population = (TP + TN)/(TP + TN + FP + FN). As such, it compares estimates of pre- and post-test probability. In total ignorance, one can compare a rule to flipping a coin (p0=0.5). This measure is prevalence-dependent. If 90% of people with COVID symptoms don't have COVID, the prior probability P(-) is 0.9, and the simple rule "Classify all such patients as COVID-free." would be 90% accurate. Diagnosis should be better than that. One can construct a "One-proportion z-test" with p0 as max(priors) = max(P(-),P(+)) for a diagnostic method hoping to beat a simple rule using the most likely outcome. Here, the hypotheses are "Ho: p ≤ 0.9 vs. Ha: p > 0.9", rejecting Ho for large values of z. One diagnostic rule could be compared to another if the other's accuracy is known and substituted for p0 in calculating the z statistic. If not known and calculated from data, an accuracy comparison test could be made using "Two-proportion z-test, pooled for Ho: p1 = p2".

Not used very much is the complementary statistic, the fraction incorrect (FiC): FC + FiC = 1, or (FP + FN)/(TP + TN + FP + FN) – this is the sum of the antidiagonal, divided by the total population. Cost-weighted fractions incorrect could compare expected costs of misclassification for different methods.

The diagnostic odds ratio (DOR) can be a more useful overall metric, which can be defined directly as (TP×TN)/(FP×FN) = (TP/FN)/(FP/TN), or indirectly as a ratio of ratio of ratios (ratio of likelihood ratios, which are themselves ratios of true rates or prediction values). This has a useful interpretation – as an odds ratio – and is prevalence-independent. Likelihood ratio is generally considered to be prevalence-independent and is easily interpreted as the multiplier to turn prior probabilities into posterior probabilities. Another useful single measure is "area under the ROC curve", AUC.

Alternative metrics edit

An F-score is a combination of the precision and the recall, providing a single score. There is a one-parameter family of statistics, with parameter β, which determines the relative weights of precision and recall. The traditional or balanced F-score (F1 score) is the harmonic mean of precision and recall:

${\displaystyle F_{1}=2\cdot {\frac {\mathrm {precision} \cdot \mathrm {recall} }{\mathrm {precision} +\mathrm {recall} }}}$ .

F-scores do not take the true negative rate into account and, therefore, are more suited to information retrieval and information extraction evaluation where the true negatives are innumerable. Instead, measures such as the phi coefficient, Matthews correlation coefficient, informedness or Cohen's kappa may be preferable to assess the performance of a binary classifier.^[10][11] As a correlation coefficient, the Matthews correlation coefficient is the geometric mean of the regression coefficients of the problem and its dual. The component regression coefficients of the Matthews correlation coefficient are markedness (deltap) and informedness (Youden's J statistic or deltap').^[12]

• Population impact measures
• Attributable risk
• Attributable risk percent
• Scoring rule (for probability predictions)
• Pseudo-R-squared

• Damage Caused by Classification Accuracy and Other Discontinuous Improper Accuracy Scoring Rules