Glossary

Plain definitions of the research terms used on this site. Each term links to the pages and notes where it matters.

A

Adherence

How consistently people use a tool or follow a study protocol over time, often reported as the share of planned days or sessions completed.

AUC (area under the ROC curve)

One number from 0.5 (no better than chance) to 1 (perfect) that summarizes how well a score separates two groups.

Related: Calibration

B

Bias adjustment (brain age)

A correction for the tendency of brain-age models to overestimate age in younger people and underestimate it in older people.

Related: Brain-PAD

Biomarker

A measurable characteristic, such as a regional brain volume, that indicates a biological process, a disease state or a response to treatment.

Bland–Altman plot

A chart of the differences between two measurement methods against their average. It shows systematic bias and the limits within which most differences fall.

Related: ICC (intraclass correlation)

Brain age

An estimate of a person's age made by a statistical model from a brain scan.

Related: Brain-PAD

Brain-PAD

Brain predicted age difference: brain age minus actual age. A positive value means the brain looks older than expected. It is a research measure, not a diagnosis.

Related: Bias adjustment (brain age)

C

Calibration

How closely a model's predicted values or risks match what is actually observed.

Related: AUC (area under the ROC curve)

Cross-validation

Testing a model on parts of the data it was not trained on, by splitting the data repeatedly. Nested cross-validation also keeps model tuning separate from testing.

Related: External validation

E

Effect size

How large a difference or association is, expressed in a way that does not depend on the sample size.

Related: Statistical power

Endpoint

The outcome a study or trial is designed to measure, defined before the study starts.

Enrichment

Selecting trial participants who are more likely to show the outcome, for example by a biomarker, so that a smaller trial can detect an effect.

Related: Biomarker

Equivalence testing

A test that shows two methods differ by less than a margin set in advance, instead of only failing to find a difference. TOST is the usual method.

Related: Tolerance interval

External validation

Testing a model on data from a different source, site or period than the data used to build it.

Related: Cross-validation

I

ICC (intraclass correlation)

A reliability measure from 0 to 1 that shows how consistent repeated measurements are, for example the same test taken twice.

Related: Test–retest reliability

M

Mild cognitive impairment (MCI)

Cognitive decline greater than expected for a person's age, but not severe enough to interfere much with daily life.

Missing data

Values that were planned but not collected. How they are handled, for example by multiple imputation, can change the results.

Mixed-effects model

A regression model for repeated or grouped measurements, such as several visits per person or several participants per site.

Morphometry

Measuring the size and shape of brain structures from images, such as cortical thickness or regional volume.

Related: T1-weighted MRI

N

Normative data

Results from a reference group that show which scores are typical for people of a given age, sex or education.

P

Practice effect

Better scores on a repeated test caused by having taken it before, not by a real change in ability.

Related: Test–retest reliability

R

Real-world data

Data collected during routine care or daily life rather than in a controlled study.

S

Sensitivity and specificity

The share of people with a condition whom a test correctly flags (sensitivity), and the share without it whom the test correctly clears (specificity).

Related: AUC (area under the ROC curve)

Software as a medical device (SaMD)

Software intended for a medical purpose, such as diagnosis or monitoring, which Health Canada and other regulators may regulate as a device.

Statistical analysis plan (SAP)

A document written before the analysis that fixes the outcomes, the methods and the handling of missing data.

Statistical power

The probability that a study detects an effect of a given size if the effect is real. It drives the sample size.

Related: Effect size

T

T1-weighted MRI

A common structural MRI scan with good contrast between grey matter, white matter and fluid; the usual input for brain-age models.

Related: Brain age

Test–retest reliability

How similar the results are when the same test is repeated under the same conditions.

Related: ICC (intraclass correlation)

Tolerance interval

A range expected to contain a stated share of all future measurements (for example 95%) with stated confidence. Used to set device acceptance criteria.

Related: Equivalence testing

V

Verification and validation (V&V)

In device development, verification checks that the device meets its specification; validation checks that it meets users' needs.

Related: Tolerance interval

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