Prevalence estimation and optimal classification methods to account for time dependence in antibody levels
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Publication:2678764
Abstract: Serology testing can identify past infection by quantifying the immune response of an infected individual providing important public health guidance. Individual immune responses are time-dependent, which is reflected in antibody measurements. Moreover, the probability of obtaining a particular measurement changes due to prevalence as the disease progresses. Taking into account these personal and population-level effects, we develop a mathematical model that suggests a natural adaptive scheme for estimating prevalence as a function of time. We then combine the estimated prevalence with optimal decision theory to develop a time-dependent probabilistic classification scheme that minimizes error. We validate this analysis by using a combination of real-world and synthetic SARS-CoV-2 data and discuss the type of longitudinal studies needed to execute this scheme in real-world settings.
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Cited in
(9)- Optimal decision theory for diagnostic testing: minimizing indeterminate classes with applications to saliva-based SARS-CoV-2 antibody assays
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- Estimation of Covid-19 prevalence from serology tests: a partial identification approach
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