Math Problem Statement

The sensitivity of a medical test is the percentage of those with a given disease that the test correctly identifies as having the disease. The specificty of a test is the percentage of those without the disease that the test correctly identifies as disease-free. A new test for a particular type of preventable cancer has a sensitivity of 93.9% and a specificity of 90.6%. If 1 out of every 24 individuals in an at-risk population have this type of cancer, find the probability that an individual has cancer given the test is negative. (False negative.)

Solution

To find the probability that an individual has cancer given that the test result is negative, we need to use Bayes' theorem.

Let's define the terms in the problem with appropriate probabilities:

  1. Sensitivity (True Positive Rate): The probability that the test is positive given that the individual has cancer, P(PositiveCancer)=93.9%=0.939P(\text{Positive} | \text{Cancer}) = 93.9\% = 0.939.

  2. Specificity (True Negative Rate): The probability that the test is negative given that the individual does not have cancer, P(NegativeNo Cancer)=90.6%=0.906P(\text{Negative} | \text{No Cancer}) = 90.6\% = 0.906.

  3. Prevalence: The probability that an individual in this population has cancer, P(Cancer)=1240.0417P(\text{Cancer}) = \frac{1}{24} \approx 0.0417.

We want to calculate the probability that an individual has cancer given that they tested negative, P(CancerNegative)P(\text{Cancer} | \text{Negative}), which represents a false negative scenario.

To find this probability, we apply Bayes' theorem as follows:

P(CancerNegative)=P(NegativeCancer)P(Cancer)P(Negative)P(\text{Cancer} | \text{Negative}) = \frac{P(\text{Negative} | \text{Cancer}) \cdot P(\text{Cancer})}{P(\text{Negative})}

Step 1: Calculate P(NegativeCancer)P(\text{Negative} | \text{Cancer})

Since sensitivity represents P(PositiveCancer)P(\text{Positive} | \text{Cancer}), the probability that a person with cancer tests negative is: P(NegativeCancer)=1P(PositiveCancer)=10.939=0.061P(\text{Negative} | \text{Cancer}) = 1 - P(\text{Positive} | \text{Cancer}) = 1 - 0.939 = 0.061

Step 2: Calculate P(Negative)P(\text{Negative})

The total probability of a negative result, P(Negative)P(\text{Negative}), is found by considering both cases: those with cancer and those without cancer. This is given by:

P(Negative)=P(NegativeCancer)P(Cancer)+P(NegativeNo Cancer)P(No Cancer)P(\text{Negative}) = P(\text{Negative} | \text{Cancer}) \cdot P(\text{Cancer}) + P(\text{Negative} | \text{No Cancer}) \cdot P(\text{No Cancer})

where:

  • P(NegativeNo Cancer)=0.906P(\text{Negative} | \text{No Cancer}) = 0.906,
  • P(No Cancer)=1P(Cancer)=10.0417=0.9583P(\text{No Cancer}) = 1 - P(\text{Cancer}) = 1 - 0.0417 = 0.9583.

Substituting the values, we get:

P(Negative)=(0.0610.0417)+(0.9060.9583)P(\text{Negative}) = (0.061 \cdot 0.0417) + (0.906 \cdot 0.9583)

Calculating each term:

  • 0.0610.0417=0.00254570.061 \cdot 0.0417 = 0.0025457,
  • 0.9060.9583=0.86800980.906 \cdot 0.9583 = 0.8680098.

Thus,

P(Negative)=0.0025457+0.8680098=0.8705555P(\text{Negative}) = 0.0025457 + 0.8680098 = 0.8705555

Step 3: Calculate P(CancerNegative)P(\text{Cancer} | \text{Negative})

Now we substitute back into Bayes' theorem:

P(CancerNegative)=P(NegativeCancer)P(Cancer)P(Negative)=0.0610.04170.8705555P(\text{Cancer} | \text{Negative}) = \frac{P(\text{Negative} | \text{Cancer}) \cdot P(\text{Cancer})}{P(\text{Negative})} = \frac{0.061 \cdot 0.0417}{0.8705555}

Calculating the numerator:

  • 0.0610.0417=0.00254570.061 \cdot 0.0417 = 0.0025457.

Then,

P(CancerNegative)=0.00254570.87055550.0029P(\text{Cancer} | \text{Negative}) = \frac{0.0025457}{0.8705555} \approx 0.0029

Final Answer

The probability that an individual has cancer given that they tested negative is approximately 0.29%.


Would you like more detailed steps or clarification on any part of this solution?

Here are five related questions for further exploration:

  1. What is the probability that an individual does not have cancer given a positive test result?
  2. How would the probability change if the test's sensitivity were higher?
  3. What is the probability of a false positive result with this test?
  4. How would the prevalence of cancer affect the false negative rate?
  5. How could one calculate the overall accuracy of this test?

Tip: Sensitivity and specificity can be remembered as measuring a test's "true positive" and "true negative" strengths, respectively.

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Math Problem Analysis

Mathematical Concepts

Conditional Probability
Bayes' Theorem
Statistics

Formulas

P(A | B) = [P(B | A) * P(A)] / P(B)
P(Negative) = P(Negative | Cancer) * P(Cancer) + P(Negative | No Cancer) * P(No Cancer)

Theorems

Bayes' Theorem

Suitable Grade Level

Undergraduate