Evidence map›Paper›PMID 26856372›Full record

Trial reportScientific reports2016

Using a Machine Learning Approach to Predict Outcomes after Radiosurgery for Cerebral Arteriovenous Malformations.

Eric Karl Oermann, Alex Rubinsteyn, Dale Ding, Justin Mascitelli, Robert M Starke, Joshua B Bederson, Hideyuki Kano, L Dade Lunsford, Jason P Sheehan, Jeffrey Hammerbacher and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

11 authors.

Eric Karl OermannDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Alex RubinsteynDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Dale DingDepartment of Neurosurgery, University of Virginia Medical Center, Charlottesville, VA, USA.
Justin MascitelliDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Robert M StarkeDepartment of Neurosurgery, University of Virginia Medical Center, Charlottesville, VA, USA.
Joshua B BedersonDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Hideyuki KanoDepartment of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
L Dade LunsfordDepartment of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Jason P SheehanDepartment of Neurosurgery, University of Virginia Medical Center, Charlottesville, VA, USA.
Jeffrey HammerbacherDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Douglas KondziolkaDepartment of Neurosurgery, New York University Langone Medical Center, New York City, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Predictions of patient outcomes after a given therapy are fundamental to medical practice. We employ a machine learning approach towards predicting the outcomes after stereotactic radiosurgery for cerebral arteriovenous malformations (AVMs). Using three prospective databases, a machine learning approach of feature engineering and model optimization was implemented to create the most accurate predictor of AVM outcomes. Existing prognostic systems were scored for purposes of comparison. The final predictor was secondarily validated on an independent site's dataset not utilized for initial construction. Out of 1,810 patients, 1,674 to 1,291 patients depending upon time threshold, with 23 features were included for analysis and divided into training and validation sets. The best predictor had an average area under the curve (AUC) of 0.71 compared to existing clinical systems of 0.63 across all time points. On the heldout dataset, the predictor had an accuracy of around 0.74 at across all time thresholds with a specificity and sensitivity of 62% and 85% respectively. This machine learning approach was able to provide the best possible predictions of AVM radiosurgery outcomes of any method to date, identify a novel radiobiological feature (3D surface dose), and demonstrate a paradigm for further development of prognostic tools in medical care.

Indexed as

Machine LearningRadiosurgeryFemaleHumansIntracranial Arteriovenous MalformationsMalePredictive Value of Tests

Identifiers

PMID26856372
PMCPMC4746661

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.