Evidence map›Paper›PMID 30043454›Full record

ArticleBritish journal of clinical pharmacology2018

Personalized prediction model for seizure-free epilepsy with levetiracetam therapy: a retrospective data analysis using support vector machine.

Jia-Hui Zhang, Xiong Han, Hong-Wei Zhao, Di Zhao, Na Wang, Ting Zhao, Gui-Nv He, Xue-Rui Zhu, Ying Zhang, Jiu-Yan Han and 1 more

Abstract readValidation Study
In one paragraph

Article in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

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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

11 authors.

Jia-Hui ZhangDepartment of Neurology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Province, China.
Xiong HanDepartment of Neurology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Province, China.ORCID 0000-0002-6481-3006
Hong-Wei ZhaoDepartment of Pharmacy, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Province, China.
Di ZhaoDepartment of Computer Network Information Center, Chinese Academy of Sciences, Beijing, China.
Na WangDepartment of Neurology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Province, China.
Ting ZhaoDepartment of Neurology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Province, China.
Gui-Nv HeDepartment of Neurology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Province, China.
Xue-Rui ZhuDepartment of Neurology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Province, China.
Ying ZhangDepartment of Neurology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Province, China.
Jiu-Yan HanDepartment of Clinical Medicine, Zhengzhou University, Henan Province, China.
Dian-Ling HuangDepartment of Computer Network Information Center, Chinese Academy of Sciences, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo predict the probability of a seizure-free (SF) state in patients with epilepsy (PWEs) after treatment with levetiracetam and to identify the clinical and electroencephalographic (EEG) factors that affect outcomes.

methodsRetrospective analysis of PWEs treated with levetiracetam for 3 years identified 22 patients who were SF and 24 who were not. Before starting levetiracetam, 11 clinical factors and four EEG features (sample entropy of α, β, θ, δ) were identified. Overall, 80% of each the two groups were chosen to establish a support vector machine (SVM) model with 5-fold cross-validation, hold-out validation and jack-knife validation. The other 20% were used to predict the efficacy of levetiracetam. The mean impact value (MIV) algorithm was used to rank the relativity between factors and outcomes.

resultsCompared with SF patients, not SF patients displayed a specific decrease in EEG sample entropy in α band from the F4 channel, β band from Fp2 and F8 channels, θ band from C3 channel (P < 0.05). The SVM model based on the clinical and EEG features yielded 72.2% accuracy of 5-fold cross-validation, 75.0% accuracy of jack-knife validation, 67.7% accuracy of hold-out validation in the training set and had a high prediction accuracy of 90% in test set (sensitivity was 100%, area under the receiver operating characteristic curve was 0.96). The feature of β band from Fp2 weighs heavily in the prediction model according to the mean impact value algorithm.

conclusionsThe efficacy of levetiracetam on newly diagnosed PWEs could be predicted using an SVM model, which could guide antiepileptic drug selection.

Indexed as

Support Vector MachineAdolescentAdultAlgorithmsAnticonvulsantsChildElectroencephalographyEpilepsyHumansLevetiracetamPrecision MedicineRetrospective StudiesSeizuresSensitivity and SpecificityYoung AdultAnticonvulsantsLevetiracetameffectivenessepilepsymethodologyneurosciencetherapeutics

Identifiers

PMID30043454
PMCPMC6177722

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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.