Evidence map›Paper›PMID 27502048›Full record

ReviewNeuroImage2017

Ten problems and solutions when predicting individual outcome from lesion site after stroke.

Cathy J Price, Thomas M Hope, Mohamed L Seghier

Abstract readReview
In one paragraph

Review in NeuroImage, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
9.5field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 96 citations in OpenAlex.

  1. Article
  2. The nonlinear trajectory of post-stroke aphasia recovery.Frontiers in human neuroscience · 2026
    Review
  3. Article
  4. Using unsupervised dimensionality reduction to identify lesion patterns predictive of post-stroke aphasia severity.Cortex; a journal devoted to the study of the nervous system and behavior · 2025
    Article
  5. Target Selection Signals Causally Influence Human Perceptual Decision-Making.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Structural disconnections associated with language impairments in chronic post-stroke aphasia using disconnectome maps.Cortex; a journal devoted to the study of the nervous system and behavior · 2022
    Article
  16. Understanding, facilitating and predicting aphasia recovery after rehabilitation.International journal of speech-language pathology · 2022
    Review
  17. Review
  18. Review
  19. Review
  20. Article
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

3 authors at 2 institutions in 2 countries.

Cathy J PriceWellcome Trust Centre for Neuroimaging, Institute of Neurology, UCL, UK. Electronic address: c.j.price@ucl.ac.uk.
Thomas M HopeWellcome Trust Centre for Neuroimaging, Institute of Neurology, UCL, UK.
Mohamed L SeghierWellcome Trust Centre for Neuroimaging, Institute of Neurology, UCL, UK; Educational Neuroscience Research Centre, ECAE, Abu Dhabi, United Arab Emirates.
Wellcome Centre for Human Neuroimaging · GBEmirates College for Advanced Education · AE

Funding

Medical Research Council MR/M023672/1Wellcome Trust 091593Wellcome Trust 097720Wellcome Trust 205103/Z/16/ZWellcome Trust WT097720MA
6 · The paper itself

Abstract

In this paper, we consider solutions to ten of the challenges faced when trying to predict an individual's functional outcome after stroke on the basis of lesion site. A primary goal is to find lesion-outcome associations that are consistently observed in large populations of stroke patients because consistent associations maximise confidence in future individualised predictions. To understand and control multiple sources of inter-patient variability, we need to systematically investigate each contributing factor and how each factor depends on other factors. This requires very large cohorts of patients, who differ from one another in typical and measurable ways, including lesion site, lesion size, functional outcome and time post stroke (weeks to decades). These multivariate investigations are complex, particularly when the contributions of different variables interact with one another. Machine learning algorithms can help to identify the most influential variables and indicate dependencies between different factors. Multivariate lesion analyses are needed to understand how the effect of damage to one brain region depends on damage or preservation in other brain regions. Such data-led investigations can reveal predictive relationships between lesion site and outcome. However, to understand and improve the predictions we need explanatory models of the neural networks and degenerate pathways that support functions of interest. This will entail integrating the results of lesion analyses with those from functional imaging (fMRI, MEG), transcranial magnetic stimulation (TMS) and diffusor tensor imaging (DTI) studies of healthy participants and patients.

Indexed as

Machine LearningStrokeHumansNeuroimagingOutcome Assessment, Health Care

Identifiers

PMID27502048
PMCPMC5154378
OpenAlexW2498250418

What OpenQuestion holds

Textmetadata
LicenceTDM
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.