Evidence map›Paper›PMID 26756101›Full record

ArticleHuman brain mapping2016

Automated segmentation of chronic stroke lesions using LINDA: Lesion identification with neighborhood data analysis.

Dorian Pustina, H Branch Coslett, Peter E Turkeltaub, Nicholas Tustison, Myrna F Schwartz, Brian Avants

Abstract read
In one paragraph

Article in Human brain mapping, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. [Application of Improved Unet Network in the Recognition and Segmentation of Hemorrhage Regions in Brain CT Images].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Trial
  5. [Prior knowledge-guided and border-focused segmentation of ischemic stroke lesions].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
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  7. Competition between Tool and Hand Motion Impairs Movement Planning in Limb Apraxia.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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  20. Indirect structural disconnection-symptom mapping.Brain structure & function · 2022
    Review

12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dorian PustinaDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania.
H Branch CoslettDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania.
Peter E TurkeltaubDepartment of Neurology, Georgetown University, Washington, DC.
Nicholas TustisonDepartment of Radiology and Medical Imaging, University of Virginia, Virginia.
Myrna F SchwartzLanguage and Aphasia Lab, Moss Rehabilitation Research Institute, Elkins Park, Pennsylvania.
Brian AvantsPenn Image Computing and Science Lab, Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

Transgenic Mouse Models of Tau PathologiesP01AG017586 · NIA · UNIVERSITY OF PENNSYLVANIA · PI LEE, VIRGINIA M · 2000 to 2021
$37.3M
Project IV: "Alpha-Synuclein Strains & Diverse Synucleinopathies"P50NS053488 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI TROJANOWSKI, JOHN Q. · 2007 to 2017
$20.9M
Psycholinguistic Anaylsis of Aphasic SyndromesR01DC000191 · NIDCD · TEMPLE UNIVERSITY · PI SCHWARTZ, MYRNA F · 1989 to 2015
$9.8M
Neural Basis of Generalized QuantifiersR01NS044266 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI GROSSMAN, MURRAY · 2004 to 2014
$6.8M
TDP-43 Proteinopathies in ALS-DementiaP01AG032953 · NIA · UNIVERSITY OF PENNSYLVANIA · PI LEE, VIRGINIA M · 2010 to 2014
$5.8M
Age, Hearing Loss, and Sentence Comprehension: Neural CorrelatesR01AG038490 · NIA · UNIVERSITY OF PENNSYLVANIA · PI GROSSMAN, MURRAY · 2012 to 2016
$2.1M
Georgetown-Howard Universities Center for Clinical and Translational Science (GHUKL2TR000102 · NCATS · GEORGETOWN UNIVERSITY · PI MELLMAN, THOMAS A, VERBALIS, JOSEPH G · 2012 to 2014
$1.7M
NCATS NIH HHS KL2 TR000102NCATS NIH HHS KL2TR000102NIA NIH HHS AG017586NIA NIH HHS AG032953NIA NIH HHS AG038490NIA NIH HHS P01 AG017586NIA NIH HHS P01 AG032953NIA NIH HHS R01 AG038490NIDCD NIH HHS R01 DC000191NIDCD NIH HHS R01DC000191NINDS NIH HHS NS044266NINDS NIH HHS NS053488NINDS NIH HHS P50 NS053488NINDS NIH HHS R01 NS044266
6 · The paper itself

Abstract

The gold standard for identifying stroke lesions is manual tracing, a method that is known to be observer dependent and time consuming, thus impractical for big data studies. We propose LINDA (Lesion Identification with Neighborhood Data Analysis), an automated segmentation algorithm capable of learning the relationship between existing manual segmentations and a single T1-weighted MRI. A dataset of 60 left hemispheric chronic stroke patients is used to build the method and test it with k-fold and leave-one-out procedures. With respect to manual tracings, predicted lesion maps showed a mean dice overlap of 0.696 ± 0.16, Hausdorff distance of 17.9 ± 9.8 mm, and average displacement of 2.54 ± 1.38 mm. The manual and predicted lesion volumes correlated at r = 0.961. An additional dataset of 45 patients was utilized to test LINDA with independent data, achieving high accuracy rates and confirming its cross-institutional applicability. To investigate the cost of moving from manual tracings to automated segmentation, we performed comparative lesion-to-symptom mapping (LSM) on five behavioral scores. Predicted and manual lesions produced similar neuro-cognitive maps, albeit with some discussed discrepancies. Of note, region-wise LSM was more robust to the prediction error than voxel-wise LSM. Our results show that, while several limitations exist, our current results compete with or exceed the state-of-the-art, producing consistent predictions, very low failure rates, and transferable knowledge between labs. This work also establishes a new viewpoint on evaluating automated methods not only with segmentation accuracy but also with brain-behavior relationships. LINDA is made available online with trained models from over 100 patients.

Indexed as

AgedDiffusion Magnetic Resonance ImagingFemaleHumansImage Interpretation, Computer-AssistedMaleMiddle AgedStatistics as TopicStrokeautomatichierarchicalmachine learningrandom forestssubacuteVLSM

Identifiers

PMID26756101
PMCPMC4783237

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.