Evidence map›Paper›PMID 26807332›Full record

ArticleBrain and behavior2015

A semi-supervised Support Vector Machine model for predicting the language outcomes following cochlear implantation based on pre-implant brain fMRI imaging.

Lirong Tan, Scott K Holland, Aniruddha K Deshpande, Ye Chen, Daniel I Choo, Long J Lu

Open access · goldAbstract readValidation Study
In one paragraph

Article in Brain and behavior, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 23% of its field
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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  9. Machine learning-based prediction of the outcomes of cochlear implantation in patients with inner ear malformation.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
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  17. Neural preservation underlies speech improvement from auditory deprivation in young cochlear implant recipients.Proceedings of the National Academy of Sciences of the United States of America · 2018
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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 at 3 institutions in 1 country.

Lirong TanDivision of Biomedical Informatics Cincinnati Children's Hospital Research Foundation 3333 Burnet Avenue Cincinnati Ohio 45229; Department of Electrical Engineering and Computing System University of Cincinnati 812 Rhodes Hall Cincinnati Ohio 45221-0030.
Scott K HollandPediatric Neuroimaging Research Consortium Cincinnati Children's Hospital Medical Center Cincinnati Ohio 45221.
Aniruddha K DeshpandeDepartment of Speech-Language-Hearing-Sciences, 106A Davison Hall 110 Hofstra University, Hempstead New York 11549.
Ye ChenDivision of Biomedical Informatics Cincinnati Children's Hospital Research Foundation 3333 Burnet Avenue Cincinnati Ohio 45229; Department of Electrical Engineering and Computing System University of Cincinnati 812 Rhodes Hall Cincinnati Ohio 45221-0030.
Daniel I ChooDepartment of Otolaryngology College of Medicine University of Cincinnati Medical Sciences Building 231 Albert Sabin Way Cincinnati Ohio 45267.
Long J LuDivision of Biomedical Informatics Cincinnati Children's Hospital Research Foundation 3333 Burnet Avenue Cincinnati Ohio 45229; Department of Electrical Engineering and Computing System University of Cincinnati 812 Rhodes Hall Cincinnati Ohio 45221-0030; Department of Environmental Health College of Medicine University of Cincinnati 231 Albert Sabin Way Cincinnati Ohio 45267.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · USHofstra University · US

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
fMRI, Genes and Outcome for Cochlear Implants in InfantsR01DC007186 · NIDCD · CINCINNATI CHILDRENS HOSP MED CTR · PI HOLLAND, SCOTT K. · 2005 to 2009
$2.4M
NCATS NIH HHS 8UL1TR000077-05NCATS NIH HHS UL1 TR000077NIDCD NIH HHS R01 DC007186NIDCD NIH HHS R01-DC007186
6 · The paper itself

Abstract

introductionWe developed a machine learning model to predict whether or not a cochlear implant (CI) candidate will develop effective language skills within 2 years after the CI surgery by using the pre-implant brain fMRI data from the candidate.

methodsThe language performance was measured 2 years after the CI surgery by the Clinical Evaluation of Language Fundamentals-Preschool, Second Edition (CELF-P2). Based on the CELF-P2 scores, the CI recipients were designated as either effective or ineffective CI users. For feature extraction from the fMRI data, we constructed contrast maps using the general linear model, and then utilized the Bag-of-Words (BoW) approach that we previously published to convert the contrast maps into feature vectors. We trained both supervised models and semi-supervised models to classify CI users as effective or ineffective.

resultsCompared with the conventional feature extraction approach, which used each single voxel as a feature, our BoW approach gave rise to much better performance for the classification of effective versus ineffective CI users. The semi-supervised model with the feature set extracted by the BoW approach from the contrast of speech versus silence achieved a leave-one-out cross-validation AUC as high as 0.97. Recursive feature elimination unexpectedly revealed that two features were sufficient to provide highly accurate classification of effective versus ineffective CI users based on our current dataset.

conclusionWe have validated the hypothesis that pre-implant cortical activation patterns revealed by fMRI during infancy correlate with language performance 2 years after cochlear implantation. The two brain regions highlighted by our classifier are potential biomarkers for the prediction of CI outcomes. Our study also demonstrated the superiority of the semi-supervised model over the supervised model. It is always worthwhile to try a semi-supervised model when unlabeled data are available.

Indexed as

LanguageSupport Vector MachineArea Under CurveBrainChild, PreschoolCochlear ImplantationFemaleHearing Loss, SensorineuralHumansHypnotics and SedativesImage Interpretation, Computer-AssistedInfantLanguage TestsMagnetic Resonance ImagingMaleModels, NeurologicalHypnotics and SedativesCochlear implantationlanguage outcomesmachine learningpre‐implant fMRIsemi‐supervised SVM

Identifiers

PMID26807332
PMCPMC4714644
OpenAlexW2112571193

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.