Evidence map›Paper›PMID 30155789›Full record

ArticleBrain imaging and behavior2019

MRI-based prediction of conversion from clinically isolated syndrome to clinically definite multiple sclerosis using SVM and lesion geometry.

Kerstin Bendfeldt, Bernd Taschler, Laura Gaetano, Philip Madoerin, Pascal Kuster, Nicole Mueller-Lenke, Michael Amann, Hugo Vrenken, Viktor Wottschel, Frederik Barkhof and 14 more

Abstract read
In one paragraph

Article in Brain imaging and behavior, 2019. 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

24 authors.

Kerstin BendfeldtMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland. kerstin.bendfeldt@unibas.ch.
Bernd TaschlerGerman Center for Neurodegenerative Diseases, Bonn, Germany.
Laura GaetanoMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland.
Philip MadoerinMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland.
Pascal KusterMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland.
Nicole Mueller-LenkeMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland.
Michael AmannMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland.
Hugo VrenkenVU University Medical Center, Amsterdam, The Netherlands.
Viktor WottschelVU University Medical Center, Amsterdam, The Netherlands.
Frederik BarkhofVU University Medical Center, Amsterdam, The Netherlands.
Stefan BorgwardtMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland.
Stefan KlöppelDepartment of Psychiatry and Psychotherapy, Freiburg Brain Imaging, University Medical Center Freiburg, Freiburg, Germany.
Eva-Maria WickleinBayer Pharma AG, Berlin, Germany.
Ludwig KapposDepartment of Neurology, University Hospital Basel, Basel, Switzerland.
Gilles EdanCHU-Hopital Pontchaillou, Rennes, France.
Mark S FreedmanUniversity of Ottawa and Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Xavier MontalbánHospital Universitari Vall d'Hebron, Barcelona, Spain.
Hans-Peter HartungDepartment of Neurology, Heinrich-Heine Universität, Düsseldorf, Germany.
Christoph PohlBayer Pharma AG, Berlin, Germany.
Rupert SandbrinkBayer Pharma AG, Berlin, Germany.
Till SprengerMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland.
Ernst-Wilhelm RadueMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland.
Jens WuerfelMedical Image Analysis Center (MIAC AG), Mittlere Str. 83, CH-4031, Basel, Switzerland.
Thomas E NicholsDepartment of Statistics, University of Warwick, Coventry, UK.

Funding

Wellcome Trust 100309
6 · The paper itself

Abstract

Neuroanatomical pattern classification using support vector machines (SVMs) has shown promising results in classifying Multiple Sclerosis (MS) patients based on individual structural magnetic resonance images (MRI). To determine whether pattern classification using SVMs facilitates predicting conversion to clinically definite multiple sclerosis (CDMS) from clinically isolated syndrome (CIS). We used baseline MRI data from 364 patients with CIS, randomised to interferon beta-1b or placebo. Non-linear SVMs and 10-fold cross-validation were applied to predict converters/non-converters (175/189) at two years follow-up based on clinical and demographic data, lesion-specific quantitative geometric features and grey-matter-to-whole-brain volume ratios. We applied linear SVM analysis and leave-one-out cross-validation to subgroups of converters (n = 25) and non-converters (n = 44) based on cortical grey matter segmentations. Highest prediction accuracies of 70.4% (p = 8e-5) were reached with a combination of lesion-specific geometric (image-based) and demographic/clinical features. Cortical grey matter was informative for the placebo group (acc.: 64.6%, p = 0.002) but not for the interferon group. Classification based on demographic/clinical covariates only resulted in an accuracy of 56% (p = 0.05). Overall, lesion geometry was more informative in the interferon group, EDSS and sex were more important for the placebo cohort. Alongside standard demographic and clinical measures, both lesion geometry and grey matter based information can aid prediction of conversion to CDMS.

Indexed as

Disease ProgressionSupport Vector MachineAdultFemaleGray MatterHumansMagnetic Resonance ImagingMaleMultiple SclerosisRandomized Controlled Trials as TopicClassificationClinically isolated syndromeLesion geometryMRIMultiple sclerosisSupport vector machine

Identifiers

PMID30155789
PMCPMC6733701

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Registered trials

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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.