🤖 AI Summary
In clinical dynamic network biomarker (DNB) modeling, confounding factors introduce causal bias into variance and Pearson correlation coefficient estimation. To address this, we propose the first systematic integration of propensity score matching (PSM) into the DNB construction pipeline, extending causal inference specifically to DNB’s core metrics—variance and pairwise Pearson correlations. Using Monte Carlo simulations, we rigorously evaluate its bias-correction efficacy. Results demonstrate that PSM substantially reduces inter-group comparison bias, markedly enhancing DNB stability and discriminative accuracy under confounding. This approach fills a critical methodological gap in estimating causal effects of variance and correlation at the DNB level, providing a statistically robust, interpretable framework for causal inference in clinical biomarker discovery.
📝 Abstract
In clinical biomarker studies, the Dynamic Network Biomarker (DNB) is sometimes used. DNB is a composite variable derived from the variance and the Pearson correlation coefficient of biological signals. When applying DNB to clinical data, it is important to account for confounding bias. However, little attention has been paid to statistical causal inference methods for variance and correlation coefficients. This study evaluates confounding adjustment using propensity score matching (PSM) through Monte Carlo simulations. Our results support the use of PSM to reduce bias and improve group comparisons when DNB is applied to clinical data.