Bayes' theorem (alternatively Bayes' law or Bayes' rule, after
Thomas Bayes
Thomas Bayes ( , ; 7 April 1761) was an English statistician, philosopher and Presbyterian minister who is known for formulating a specific case of the theorem that bears his name: Bayes' theorem.
Bayes never published what would become his m ...
) gives a mathematical rule for inverting
conditional probabilities, allowing one to find the probability of a cause given its effect. For example, if the risk of developing health problems is known to increase with age, Bayes' theorem allows the risk to someone of a known age to be assessed more accurately by conditioning it relative to their age, rather than assuming that the person is typical of the population as a whole. Based on Bayes' law, both the prevalence of a disease in a given population and the error rate of an infectious disease test must be taken into account to evaluate the meaning of a positive test result and avoid the ''
base-rate fallacy''.
One of Bayes' theorem's many applications is
Bayesian inference
Bayesian inference ( or ) is a method of statistical inference in which Bayes' theorem is used to calculate a probability of a hypothesis, given prior evidence, and update it as more information becomes available. Fundamentally, Bayesian infer ...
, an approach to
statistical inference
Statistical inference is the process of using data analysis to infer properties of an underlying probability distribution.Upton, G., Cook, I. (2008) ''Oxford Dictionary of Statistics'', OUP. . Inferential statistical analysis infers properties of ...
, where it is used to invert the probability of
observations
Observation in the natural sciences is an act or instance of noticing or perceiving and the acquisition of information from a primary source. In living beings, observation employs the senses. In science, observation can also involve the perceptio ...
given a model configuration (i.e., the
likelihood function
A likelihood function (often simply called the likelihood) measures how well a statistical model explains observed data by calculating the probability of seeing that data under different parameter values of the model. It is constructed from the ...
) to obtain the probability of the model configuration given the observations (i.e., the
posterior probability
The posterior probability is a type of conditional probability that results from updating the prior probability with information summarized by the likelihood via an application of Bayes' rule. From an epistemological perspective, the posteri ...
).
History
Bayes' theorem is named after
Thomas Bayes
Thomas Bayes ( , ; 7 April 1761) was an English statistician, philosopher and Presbyterian minister who is known for formulating a specific case of the theorem that bears his name: Bayes' theorem.
Bayes never published what would become his m ...
(), a minister, statistician, and philosopher. Bayes used conditional probability to provide an algorithm (his Proposition 9) that uses evidence to calculate limits on an unknown parameter. His work was published in 1763 as ''
An Essay Towards Solving a Problem in the Doctrine of Chances
"An Essay Towards Solving a Problem in the Doctrine of Chances" is a work on the mathematical theory of probability by Thomas Bayes, published in 1763, two years after its author's death, and containing multiple amendments and additions due to his ...
''. Bayes studied how to compute a distribution for the probability parameter of a
binomial distribution
In probability theory and statistics, the binomial distribution with parameters and is the discrete probability distribution of the number of successes in a sequence of statistical independence, independent experiment (probability theory) ...
(in modern terminology). After Bayes's death, his family gave his papers to a friend, the minister, philosopher, and mathematician
Richard Price
Richard Price (23 February 1723 – 19 April 1791) was a British moral philosopher, Nonconformist minister and mathematician. He was also a political reformer and pamphleteer, active in radical, republican, and liberal causes such as the F ...
.
Price significantly edited the unpublished manuscript for two years before sending it to a friend who read it aloud at the
Royal Society
The Royal Society, formally The Royal Society of London for Improving Natural Knowledge, is a learned society and the United Kingdom's national academy of sciences. The society fulfils a number of roles: promoting science and its benefits, re ...
on 23 December 1763.
Price edited Bayes's major work "An Essay Towards Solving a Problem in the Doctrine of Chances" (1763), which appeared in ''
Philosophical Transactions
''Philosophical Transactions of the Royal Society'' is a scientific journal published by the Royal Society. In its earliest days, it was a private venture of the Royal Society's secretary. It was established in 1665, making it the second journ ...
'',
and contains Bayes' theorem. Price wrote an introduction to the paper that provides some of the philosophical basis of
Bayesian statistics
Bayesian statistics ( or ) is a theory in the field of statistics based on the Bayesian interpretation of probability, where probability expresses a ''degree of belief'' in an event. The degree of belief may be based on prior knowledge about ...
and chose one of the two solutions Bayes offered. In 1765, Price was elected a Fellow of the Royal Society in recognition of his work on Bayes's legacy.
[Holland, pp. 46–7.] On 27 April, a letter sent to his friend
Benjamin Franklin
Benjamin Franklin (April 17, 1790) was an American polymath: a writer, scientist, inventor, statesman, diplomat, printer, publisher and Political philosophy, political philosopher.#britannica, Encyclopædia Britannica, Wood, 2021 Among the m ...
was read out at the Royal Society, and later published, in which Price applies this work to population and computing 'life-annuities'.
[.]
Independently of Bayes,
Pierre-Simon Laplace
Pierre-Simon, Marquis de Laplace (; ; 23 March 1749 – 5 March 1827) was a French polymath, a scholar whose work has been instrumental in the fields of physics, astronomy, mathematics, engineering, statistics, and philosophy. He summariz ...
used conditional probability to formulate the relation of an updated
posterior probability
The posterior probability is a type of conditional probability that results from updating the prior probability with information summarized by the likelihood via an application of Bayes' rule. From an epistemological perspective, the posteri ...
from a prior probability, given evidence. He reproduced and extended Bayes's results in 1774, apparently unaware of Bayes's work, and summarized his results in ''
Théorie analytique des probabilités'' (1812). The
Bayesian interpretation of probability was developed mainly by Laplace.
About 200 years later,
Sir Harold Jeffreys put Bayes's algorithm and Laplace's formulation on an
axiomatic basis, writing in a 1973 book that Bayes' theorem "is to the theory of probability what the
Pythagorean theorem
In mathematics, the Pythagorean theorem or Pythagoras' theorem is a fundamental relation in Euclidean geometry between the three sides of a right triangle. It states that the area of the square whose side is the hypotenuse (the side opposite t ...
is to geometry".
Stephen Stigler used a Bayesian argument to conclude that Bayes' theorem was discovered by
Nicholas Saunderson, a blind English mathematician, some time before Bayes,
but that is disputed.
Martyn Hooper and Sharon McGrayne
have argued that Richard Price's contribution was substantial:
F. Thomas Bruss reviewed Bayes' work "An essay towards solving a problem in the doctrine of chances" as communicated by Price. He agrees with Stigler's fine analysis in many points, but not as far as the question of priority is concerned. Bruss underlines the intuitive part of Bayes' formula and adds independent arguments of Bayes' probable motivation for his work. He concludes that, unless the contrary is really proven, we are entitled to be faithful to the name "Bayes' Theorem" or "Bayes' formula".
Statement of theorem
Bayes' theorem is stated mathematically as the following equation:
where
and
are
events and
.
*
is a
conditional probability
In probability theory, conditional probability is a measure of the probability of an Event (probability theory), event occurring, given that another event (by assumption, presumption, assertion or evidence) is already known to have occurred. This ...
: the probability of event
occurring given that
is true. It is also called the
posterior probability
The posterior probability is a type of conditional probability that results from updating the prior probability with information summarized by the likelihood via an application of Bayes' rule. From an epistemological perspective, the posteri ...
of
given
.
*
is also a conditional probability: the probability of event
occurring given that
is true. It can also be interpreted as the
likelihood
A likelihood function (often simply called the likelihood) measures how well a statistical model explains observed data by calculating the probability of seeing that data under different parameter values of the model. It is constructed from the j ...
of
given a fixed
because
.
*
and
are the probabilities of observing
and
respectively without any given conditions; they are known as the
prior probability
A prior probability distribution of an uncertain quantity, simply called the prior, is its assumed probability distribution before some evidence is taken into account. For example, the prior could be the probability distribution representing the ...
and
marginal probability
In probability theory and statistics, the marginal distribution of a subset of a collection of random variables is the probability distribution of the variables contained in the subset. It gives the probabilities of various values of the variable ...
.
Proof
For events
Bayes' theorem may be derived from the definition of
conditional probability
In probability theory, conditional probability is a measure of the probability of an Event (probability theory), event occurring, given that another event (by assumption, presumption, assertion or evidence) is already known to have occurred. This ...
:
:
where
is the probability of both A and B being true. Similarly,
:
Solving for
and substituting into the above expression for
yields Bayes' theorem:
:
For continuous random variables
For two continuous
random variable
A random variable (also called random quantity, aleatory variable, or stochastic variable) is a Mathematics, mathematical formalization of a quantity or object which depends on randomness, random events. The term 'random variable' in its mathema ...
s ''X'' and ''Y'', Bayes' theorem may be analogously derived from the definition of
conditional density:
:
:
Therefore,
:
This holds for values
and
within the
support of ''X'' and ''Y'', ensuring
and
.
General case
Let
be the conditional distribution of
given
and let
be the distribution of
. The joint distribution is then
. The conditional distribution
of
given
is then determined by
Existence and uniqueness of the needed
conditional expectation
In probability theory, the conditional expectation, conditional expected value, or conditional mean of a random variable is its expected value evaluated with respect to the conditional probability distribution. If the random variable can take on ...
is a consequence of the
Radon–Nikodym theorem
In mathematics, the Radon–Nikodym theorem is a result in measure theory that expresses the relationship between two measures defined on the same measurable space. A ''measure'' is a set function that assigns a consistent magnitude to the measurab ...
. This was formulated by
Kolmogorov in 1933. Kolmogorov underlines the importance of conditional probability, writing, "I wish to call attention to ... the theory of conditional probabilities and conditional expectations". Bayes' theorem determines the posterior distribution from the prior distribution. Uniqueness requires continuity assumptions. Bayes' theorem can be generalized to include improper prior distributions such as the uniform distribution on the real line. Modern
Markov chain Monte Carlo
In statistics, Markov chain Monte Carlo (MCMC) is a class of algorithms used to draw samples from a probability distribution. Given a probability distribution, one can construct a Markov chain whose elements' distribution approximates it – that ...
methods have boosted the importance of Bayes' theorem, including in cases with improper priors.
Examples
Recreational mathematics
Bayes' rule and computing
conditional probabilities provide a method to solve a number of popular puzzles, such as the
Three Prisoners problem, the
Monty Hall problem
The Monty Hall problem is a brain teaser, in the form of a probability puzzle, based nominally on the American television game show ''Let's Make a Deal'' and named after its original host, Monty Hall. The problem was originally posed (and solved ...
, the
Two Child problem, and the
Two Envelopes problem.
Drug testing
Suppose, a particular test for whether someone has been using cannabis is 90%
sensitive, meaning the
true positive rate (TPR) = 0.90. Therefore, it leads to 90% true positive results (correct identification of drug use) for cannabis users.
The test is also 80%
specific, meaning
true negative rate (TNR) = 0.80. Therefore, the test correctly identifies 80% of non-use for non-users, but also generates 20% false positives, or
false positive rate (FPR) = 0.20, for non-users.
Assuming 0.05
prevalence
In epidemiology, prevalence is the proportion of a particular population found to be affected by a medical condition (typically a disease or a risk factor such as smoking or seatbelt use) at a specific time. It is derived by comparing the number o ...
, meaning 5% of people use cannabis, what is the
probability
Probability is a branch of mathematics and statistics concerning events and numerical descriptions of how likely they are to occur. The probability of an event is a number between 0 and 1; the larger the probability, the more likely an e ...
that a random person who tests positive is really a cannabis user?
The
Positive predictive value
The positive and negative predictive values (PPV and NPV respectively) are the proportions of positive and negative results in statistics and diagnostic tests that are true positive and true negative results, respectively. The PPV and NPV desc ...
(PPV) of a test is the proportion of persons who are actually positive out of all those testing positive, and can be calculated from a sample as:
:PPV = True positive / Tested positive
If sensitivity, specificity, and prevalence are known, PPV can be calculated using Bayes' theorem. Let
mean "the probability that someone is a cannabis user given that they test positive", which is what PPV means. We can write:
:
The denominator
is a direct application of the
Law of Total Probability
In probability theory, the law (or formula) of total probability is a fundamental rule relating marginal probabilities to conditional probabilities. It expresses the total probability of an outcome which can be realized via several distinct ev ...
. In this case, it says that the probability that someone tests positive is the probability that a user tests positive times the probability of being a user, plus the probability that a non-user tests positive, times the probability of being a non-user. This is true because the classifications user and non-user form a
partition of a set
In mathematics, a partition of a set is a grouping of its elements into Empty set, non-empty subsets, in such a way that every element is included in exactly one subset.
Every equivalence relation on a Set (mathematics), set defines a partitio ...
, namely the set of people who take the drug test. This combined with the definition of
conditional probability
In probability theory, conditional probability is a measure of the probability of an Event (probability theory), event occurring, given that another event (by assumption, presumption, assertion or evidence) is already known to have occurred. This ...
results in the above statement.
In other words, if someone tests positive, the probability that they are a cannabis user is only 19%—because in this group, only 5% of people are users, and most positives are false positives coming from the remaining 95%.

If 1,000 people were tested:
* 950 are non-users and 190 of them give false positive (0.20 × 950)
* 50 of them are users and 45 of them give true positive (0.90 × 50)
The 1,000 people thus have 235 positive tests, of which only 45 are genuine, about 19%.
Sensitivity or specificity
The importance of
specificity can be seen by showing that even if sensitivity is raised to 100% and specificity remains at 80%, the probability that someone who tests positive is a cannabis user rises only from 19% to 21%, but if the sensitivity is held at 90% and the specificity is increased to 95%, the probability rises to 49%.
Cancer rate
If all patients with pancreatic cancer have a certain symptom, it does not follow that anyone who has that symptom has a 100% chance of getting pancreatic cancer. Assuming the incidence rate of pancreatic cancer is 1/100000, while 10/99999 healthy individuals have the same symptoms worldwide, the probability of having pancreatic cancer given the symptoms is 9.1%, and the other 90.9% could be "false positives" (that is, falsely said to have cancer; "positive" is a confusing term when, as here, the test gives bad news).
Based on incidence rate, the following table presents the corresponding numbers per 100,000 people.
Which can then be used to calculate the probability of having cancer when you have the symptoms:
:
Defective item rate
A factory produces items using three machines—A, B, and C—which account for 20%, 30%, and 50% of its output, respectively. Of the items produced by machine A, 5% are defective, while 3% of B's items and 1% of C's are defective. If a randomly selected item is defective, what is the probability it was produced by machine C?
Once again, the answer can be reached without using the formula by applying the conditions to a hypothetical number of cases. For example, if the factory produces 1,000 items, 200 will be produced by A, 300 by B, and 500 by C. Machine A will produce 5% × 200 = 10 defective items, B 3% × 300 = 9, and C 1% × 500 = 5, for a total of 24. Thus 24/1000 (2.4%) of the total output will be defective and the likelihood that a randomly selected defective item was produced by machine C is 5/24 (~20.83%).
This problem can also be solved using Bayes' theorem: Let ''X
i'' denote the event that a randomly chosen item was made by the ''i''
th machine (for ''i'' = A,B,C). Let ''Y'' denote the event that a randomly chosen item is defective. Then, we are given the following information:
:
If the item was made by the first machine, then the probability that it is defective is 0.05; that is, ''P''(''Y'' , ''X''
A) = 0.05. Overall, we have
:
To answer the original question, we first find ''P''(Y). That can be done in the following way:
:
Hence, 2.4% of the total output is defective.
We are given that ''Y'' has occurred and we want to calculate the conditional probability of ''X''
C. By Bayes' theorem,
:
Given that the item is defective, the probability that it was made by machine C is 5/24. C produces half of the total output but a much smaller fraction of the defective items. Hence the knowledge that the item selected was defective enables us to replace the prior probability ''P''(''X''
C) = 1/2 by the smaller posterior probability ''P''(X
C , ''Y'') = 5/24.
Interpretations

The interpretation of Bayes' rule depends on the
interpretation of probability ascribed to the terms. The two predominant interpretations are described below.
Bayesian interpretation
In the
Bayesian (or epistemological) interpretation, probability measures a "degree of belief". Bayes' theorem links the degree of belief in a proposition before and after accounting for evidence. For example, suppose it is believed with 50% certainty that a coin is twice as likely to land heads than tails. If the coin is flipped a number of times and the outcomes observed, that degree of belief will probably rise or fall, but might remain the same, depending on the results. For proposition ''A'' and evidence ''B'',
* ''P'' (''A''), the ''prior'', is the initial degree of belief in ''A''.
* ''P'' (''A'' , ''B''), the ''posterior'', is the degree of belief after incorporating news that ''B'' is true.
* the quotient represents the support ''B'' provides for ''A''.
For more on the application of Bayes' theorem under the Bayesian interpretation of probability, see
Bayesian inference
Bayesian inference ( or ) is a method of statistical inference in which Bayes' theorem is used to calculate a probability of a hypothesis, given prior evidence, and update it as more information becomes available. Fundamentally, Bayesian infer ...
.
Frequentist interpretation

In the
frequentist interpretation, probability measures a "proportion of outcomes". For example, suppose an experiment is performed many times. ''P''(''A'') is the proportion of outcomes with property ''A'' (the prior) and ''P''(''B'') is the proportion with property ''B''. ''P''(''B'' , ''A'') is the proportion of outcomes with property ''B'' ''out of'' outcomes with property ''A'', and ''P''(''A'' , ''B'') is the proportion of those with ''A'' ''out of'' those with ''B'' (the posterior).
The role of Bayes' theorem can be shown with tree diagrams. The two diagrams partition the same outcomes by ''A'' and ''B'' in opposite orders, to obtain the inverse probabilities. Bayes' theorem links the different partitionings.
Example

An
entomologist
Entomology (from Ancient Greek ἔντομον (''éntomon''), meaning "insect", and -logy from λόγος (''lógos''), meaning "study") is the branch of zoology that focuses on insects. Those who study entomology are known as entomologists. In ...
spots what might, due to the pattern on its back, be a rare
subspecies
In Taxonomy (biology), biological classification, subspecies (: subspecies) is a rank below species, used for populations that live in different areas and vary in size, shape, or other physical characteristics (Morphology (biology), morpholog ...
of
beetle
Beetles are insects that form the Taxonomic rank, order Coleoptera (), in the superorder Holometabola. Their front pair of wings are hardened into wing-cases, elytra, distinguishing them from most other insects. The Coleoptera, with about 40 ...
. A full 98% of the members of the rare subspecies have the pattern, so ''P''(Pattern , Rare) = 98%. Only 5% of members of the common subspecies have the pattern. The rare subspecies is 0.1% of the total population. How likely is the beetle having the pattern to be rare: what is ''P''(Rare , Pattern)?
From the extended form of Bayes' theorem (since any beetle is either rare or common),
:
Forms
Events
Simple form
For events ''A'' and ''B'', provided that ''P''(''B'') ≠ 0,
:
In many applications, for instance in
Bayesian inference
Bayesian inference ( or ) is a method of statistical inference in which Bayes' theorem is used to calculate a probability of a hypothesis, given prior evidence, and update it as more information becomes available. Fundamentally, Bayesian infer ...
, the event ''B'' is fixed in the discussion and we wish to consider the effect of its having been observed on our belief in various possible events ''A''. In such situations the denominator of the last expression, the probability of the given evidence ''B'', is fixed; what we want to vary is ''A''. Bayes' theorem shows that the posterior probabilities are
proportional to the numerator, so the last equation becomes:
:
In words, the posterior is proportional to the prior times the likelihood. This version of Bayes' theorem is known as Bayes' rule..
If events ''A''
1, ''A''
2, ..., are mutually exclusive and exhaustive, i.e., one of them is certain to occur but no two can occur together, we can determine the proportionality constant by using the fact that their probabilities must add up to one. For instance, for a given event ''A'', the event ''A'' itself and its complement ¬''A'' are exclusive and exhaustive. Denoting the constant of proportionality by ''c'', we have:
:
Adding these two formulas we deduce that:
:
or
:
Alternative form
Another form of Bayes' theorem for two competing statements or hypotheses is:
:
For an epistemological interpretation:
For proposition ''A'' and evidence or background ''B'',
*
is the
prior probability
A prior probability distribution of an uncertain quantity, simply called the prior, is its assumed probability distribution before some evidence is taken into account. For example, the prior could be the probability distribution representing the ...
, the initial degree of belief in ''A''.
*
is the corresponding initial degree of belief in ''not-A'', that ''A'' is false, where
*
is the
conditional probability
In probability theory, conditional probability is a measure of the probability of an Event (probability theory), event occurring, given that another event (by assumption, presumption, assertion or evidence) is already known to have occurred. This ...
or likelihood, the degree of belief in ''B'' given that ''A'' is true.
*
is the
conditional probability
In probability theory, conditional probability is a measure of the probability of an Event (probability theory), event occurring, given that another event (by assumption, presumption, assertion or evidence) is already known to have occurred. This ...
or likelihood, the degree of belief in ''B'' given that ''A'' is false.
*
is the
posterior probability
The posterior probability is a type of conditional probability that results from updating the prior probability with information summarized by the likelihood via an application of Bayes' rule. From an epistemological perspective, the posteri ...
, the probability of ''A'' after taking into account ''B''.
Extended form
Often, for some
partition of the
sample space
In probability theory, the sample space (also called sample description space, possibility space, or outcome space) of an experiment or random trial is the set of all possible outcomes or results of that experiment. A sample space is usually den ...
, the
event space
Event may refer to:
Gatherings of people
* Ceremony, an event of ritual significance, performed on a special occasion
* Convention (meeting), a gathering of individuals engaged in some common interest
* Event management, the organization of e ...
is given in terms of ''P''(''A
j'') and ''P''(''B'' , ''A
j''). It is then useful to compute ''P''(''B'') using the
law of total probability
In probability theory, the law (or formula) of total probability is a fundamental rule relating marginal probabilities to conditional probabilities. It expresses the total probability of an outcome which can be realized via several distinct ev ...
:
Or (using the multiplication rule for conditional probability),
:
:
In the special case where ''A'' is a
binary variable
Binary data is data whose unit can take on only two possible states. These are often labelled as 0 and 1 in accordance with the binary numeral system and Boolean algebra.
Binary data occurs in many different technical and scientific fields, whe ...
:
:
Random variables

Consider a
sample space
In probability theory, the sample space (also called sample description space, possibility space, or outcome space) of an experiment or random trial is the set of all possible outcomes or results of that experiment. A sample space is usually den ...
Ω generated by two
random variables
A random variable (also called random quantity, aleatory variable, or stochastic variable) is a mathematical formalization of a quantity or object which depends on random events. The term 'random variable' in its mathematical definition refers ...
''X'' and ''Y'' with known probability distributions. In principle, Bayes' theorem applies to the events ''A'' = and ''B'' = .
:
Terms become 0 at points where either variable has finite
probability density. To remain useful, Bayes' theorem can be formulated in terms of the relevant densities (see
Derivation).
Simple form
If ''X'' is continuous and ''Y'' is discrete,
:
where each
is a density function.
If ''X'' is discrete and ''Y'' is continuous,
:
If both ''X'' and ''Y'' are continuous,
:
Extended form

A continuous event space is often conceptualized in terms of the numerator terms. It is then useful to eliminate the denominator using the
law of total probability
In probability theory, the law (or formula) of total probability is a fundamental rule relating marginal probabilities to conditional probabilities. It expresses the total probability of an outcome which can be realized via several distinct ev ...
. For ''f
Y''(''y''), this becomes an integral:
:
Bayes' rule in odds form
Bayes' theorem in
odds form is:
:
where
:
is called the
Bayes factor
The Bayes factor is a ratio of two competing statistical models represented by their evidence, and is used to quantify the support for one model over the other. The models in question can have a common set of parameters, such as a null hypothesis ...
or
likelihood ratio. The odds between two events is simply the ratio of the probabilities of the two events. Thus:
:
:
Thus the rule says that the posterior odds are the prior odds times the
Bayes factor
The Bayes factor is a ratio of two competing statistical models represented by their evidence, and is used to quantify the support for one model over the other. The models in question can have a common set of parameters, such as a null hypothesis ...
; in other words, the posterior is proportional to the prior times the likelihood.
In the special case that
and
, one writes
, and uses a similar abbreviation for the Bayes factor and for the conditional odds. The odds on
is by definition the odds for and against
. Bayes' rule can then be written in the abbreviated form
:
or, in words, the posterior odds on
equals the prior odds on
times the likelihood ratio for
given information
. In short, posterior odds equals prior odds times likelihood ratio.
For example, if a medical test has a
sensitivity of 90% and a
specificity of 91%, then the positive Bayes factor is
. Now, if the
prevalence
In epidemiology, prevalence is the proportion of a particular population found to be affected by a medical condition (typically a disease or a risk factor such as smoking or seatbelt use) at a specific time. It is derived by comparing the number o ...
of this disease is 9.09%, and if we take that as the prior probability, then the prior odds is about 1:10. So after receiving a positive test result, the posterior odds of having the disease becomes 1:1, which means that the posterior probability of having the disease is 50%. If a second test is performed in serial testing, and that also turns out to be positive, then the posterior odds of having the disease becomes 10:1, which means a posterior probability of about 90.91%. The negative Bayes factor can be calculated to be 91%/(100%-90%)=9.1, so if the second test turns out to be negative, then the posterior odds of having the disease is 1:9.1, which means a posterior probability of about 9.9%.
The example above can also be understood with more solid numbers: assume the patient taking the test is from a group of 1,000 people, 91 of whom have the disease (prevalence of 9.1%). If all 1,000 take the test, 82 of those with the disease will get a true positive result (sensitivity of 90.1%), 9 of those with the disease will get a false negative result (
false negative rate of 9.9%), 827 of those without the disease will get a true negative result (specificity of 91.0%), and 82 of those without the disease will get a false positive result (false positive rate of 9.0%). Before taking any test, the patient's odds for having the disease is 91:909. After receiving a positive result, the patient's odds for having the disease is
:
which is consistent with the fact that there are 82 true positives and 82 false positives in the group of 1,000.
Generalizations
Bayes' theorem for 3 events
A version of Bayes' theorem for 3 events
results from the addition of a third event
, with
on which all probabilities are conditioned:
:
Derivation
Using the
chain rule
In calculus, the chain rule is a formula that expresses the derivative of the Function composition, composition of two differentiable functions and in terms of the derivatives of and . More precisely, if h=f\circ g is the function such that h ...
:
And, on the other hand
:
The desired result is obtained by identifying both expressions and solving for
.
Use in genetics
In genetics, Bayes' rule can be used to estimate the probability that someone has a specific genotype. Many people seek to assess their chances of being affected by a genetic disease or their likelihood of being a carrier for a recessive gene of interest. A Bayesian analysis can be done based on family history or
genetic testing
Genetic testing, also known as DNA testing, is used to identify changes in DNA sequence or chromosome structure. Genetic testing can also include measuring the results of genetic changes, such as RNA analysis as an output of gene expression, or ...
to predict whether someone will develop a disease or pass one on to their children. Genetic testing and prediction is common among couples who plan to have children but are concerned that they may both be carriers for a disease, especially in communities with low genetic variance.
Using pedigree to calculate probabilities
Example of a Bayesian analysis table for a female's risk for a disease based on the knowledge that the disease is present in her siblings but not in her parents or any of her four children. Based solely on the status of the subject's siblings and parents, she is equally likely to be a carrier as to be a non-carrier (this likelihood is denoted by the Prior Hypothesis). The probability that the subject's four sons would all be unaffected is 1/16 (⋅⋅⋅) if she is a carrier and about 1 if she is a non-carrier (this is the Conditional Probability). The Joint Probability reconciles these two predictions by multiplying them together. The last line (the Posterior Probability) is calculated by dividing the Joint Probability for each hypothesis by the sum of both joint probabilities.
Using genetic test results
Parental genetic testing can detect around 90% of known disease alleles in parents that can lead to carrier or affected status in their children. Cystic fibrosis is a heritable disease caused by an autosomal recessive mutation on the CFTR gene, located on the q arm of chromosome 7.
["CFTR Gene – Genetics Home Reference". U.S. National Library of Medicine, National Institutes of Health, ghr.nlm.nih.gov/gene/CFTR#location.]
Here is a Bayesian analysis of a female patient with a family history of cystic fibrosis (CF) who has tested negative for CF, demonstrating how the method was used to determine her risk of having a child born with CF: because the patient is unaffected, she is either homozygous for the wild-type allele, or heterozygous. To establish prior probabilities, a Punnett square is used, based on the knowledge that neither parent was affected by the disease but both could have been carriers:
Given that the patient is unaffected, there are only three possibilities. Within these three, there are two scenarios in which the patient carries the mutant allele. Thus the prior probabilities are and .
Next, the patient undergoes genetic testing and tests negative for cystic fibrosis. This test has a 90% detection rate, so the conditional probabilities of a negative test are 1/10 and 1. Finally, the joint and posterior probabilities are calculated as before.
After carrying out the same analysis on the patient's male partner (with a negative test result), the chance that their child is affected is the product of the parents' respective posterior probabilities for being carriers times the chance that two carriers will produce an affected offspring ().
Genetic testing done in parallel with other risk factor identification
Bayesian analysis can be done using phenotypic information associated with a genetic condition. When combined with genetic testing, this analysis becomes much more complicated. Cystic fibrosis, for example, can be identified in a fetus with an ultrasound looking for an echogenic bowel, one that appears brighter than normal on a scan. This is not a foolproof test, as an echogenic bowel can be present in a perfectly healthy fetus. Parental genetic testing is very influential in this case, where a phenotypic facet can be overly influential in probability calculation. In the case of a fetus with an echogenic bowel, with a mother who has been tested and is known to be a CF carrier, the posterior probability that the fetus has the disease is very high (0.64). But once the father has tested negative for CF, the posterior probability drops significantly (to 0.16).
Risk factor calculation is a powerful tool in genetic counseling and reproductive planning but cannot be treated as the only important factor. As above, incomplete testing can yield falsely high probability of carrier status, and testing can be financially inaccessible or unfeasible when a parent is not present.
See also
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Bayesian epistemology
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Inductive probability
Inductive probability attempts to give the probability of future events based on past events. It is the basis for inductive reasoning
Inductive reasoning refers to a variety of method of reasoning, methods of reasoning in which the conclusion o ...
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Quantum Bayesianism
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Why Most Published Research Findings Are False
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"Why Most Published Research Findings Are False" is a 2005 essay written by John Ioannidis, a professor at the Stanford School of Medicine, and published in '' PLOS Medicine''. It is considered foundational to the field of metascience.
In the p ...
'', a 2005 essay in
metascience
Metascience (also known as meta-research) is the use of scientific methodology to study science itself. Metascience seeks to increase the quality of scientific research while reducing inefficiency. It is also known as "research on research" and ...
by John Ioannidis
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Regular conditional probability
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Bayesian persuasion
Notes
References
Bibliography
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Further reading
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External links
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{{DEFAULTSORT:Bayes' Theorem
Bayesian statistics
Theorems in probability theory
Theorems in statistics