Rationale and Objectives. The standard binormal model is the most comm
only used model for fitting receiver operating characteristic rating d
ata; however, it sometimes produces inappropriate fits that cross the
chance line with degenerate data sets. The authors proposed and evalua
ted a proper constant-shape bigamma model to handle binormal degenerac
y. Methods. Monte Carlo samples were generated from both a standard bi
normal population model and a proper constant-shape bigamma model in a
series of Monte Carlo studies. Results. The results confirm that the
standard binormal model is robust in large samples with no degenerate
data sets and that the standard binormal model is not robust in small
samples because of degenerate data sets. Conclusion. A proper constant
-shape bigamma model seems to solve the problem of degeneracy without
inappropriate chance line crossings. The bigamma fitting model outperf
ormed the standard binormal fitting model in small samples and gave si
milar results in large samples.