Early stopping in clinical PET studies: How to reduce expense and exposure

J Cereb Blood Flow Metab. 2021 Nov;41(11):2805-2819. doi: 10.1177/0271678X211017796. Epub 2021 May 21.

Abstract

Clinical positron emission tomography (PET) research is costly and entails exposing participants to radioactivity. Researchers should therefore aim to include just the number of subjects needed to fulfill the purpose of the study. In this tutorial we show how to apply sequential Bayes Factor testing in order to stop the recruitment of subjects in a clinical PET study as soon as enough data have been collected to make a conclusion. By using simulations, we demonstrate that it is possible to stop a study early, while keeping the number of erroneous conclusions low. We then apply sequential Bayes Factor testing to a real PET data set and show that it is possible to obtain support in favor of an effect while simultaneously reducing the sample size with 30%. Using this procedure allows researchers to reduce expense and radioactivity exposure for a range of effect sizes relevant for PET research.

Keywords: Bayes factor; Early stopping; positron emission tomography; sequential testing; tutorial.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Bayes Theorem
  • Case-Control Studies
  • Computer Simulation / statistics & numerical data*
  • Early Termination of Clinical Trials / ethics
  • Early Termination of Clinical Trials / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Positron-Emission Tomography / adverse effects*
  • Positron-Emission Tomography / economics*
  • Positron-Emission Tomography / statistics & numerical data
  • Radiation Exposure / adverse effects
  • Radiation Exposure / prevention & control*
  • Research Design
  • Sample Size