Interpreting and optimising bulk milk testing for BVD and IBR considering numerical test outcomes

Many diagnostic
assays provide a numerical result that is then turned into a positive/negative outcome
by applying a cut-off, with a loss of potentially valuable information. This
research project proposes to develop and apply Bayesian latent class models
(BLCMs) to support interpretation of serological diagnostic tests using additional
information derived from the numerical outcome. The project builds on the
results of a previous CoVetLab project that successfully proved the feasibility
of inter-laboratory diagnostic test evaluation for the serological detection of
infectious bovine rhinotracheitis (IBR) and bovine viral diarrhoea (BVD). We
will now focus on bulk-milk testing, which will greatly benefit from the use of
numerical results and for which diagnostic test evaluation of numerical test results
has not yet been done. The ultimate outcome of the project is to determine the
probability of a herd being truly seropositive for BVD/IBR given a certain bulk
milk test result. The key objectives are: (1) Develop a BLCM method to analyse numerical
test outcomes from multiple diagnostic tests. (2) Compare the test performance
of serological tests currently applied for routine bulk milk diagnostics of BVD
and IBR in the partner institutes. (3) Develop tools to optimise test
performance for country-specific requirements. (4) Develop a dashboard for test
result interpretation that provides the probability of infection given the numerical
test outcome. As well as knowledge sharing and harmonization between
institutes, the collaboration within the CoVetLab framework is a requirement
for accessing the sample material used for this inter-laboratory diagnostic
test evaluation.