Evidence map›Paper›PMID 30573458›Full record

ArticleAJNR. American journal of neuroradiology2019

Radiomics-Based Intracranial Thrombus Features on CT and CTA Predict Recanalization with Intravenous Alteplase in Patients with Acute Ischemic Stroke.

W Qiu, H Kuang, J Nair, Z Assis, M Najm, C McDougall, B McDougall, K Chung, A T Wilson, M Goyal and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05192161 (Computational Medical Imaging), which is not on this map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 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.

NCT05192161 unknown statusnot on this mapstarted 2023, after this paper: background citation

Computational Medical Imaging (Radiomics) and Prediction of Diffusion/FLAIR Mismatch in Stroke Patients

TypeobservationalSponsorFondation Hôpital Saint-JosephRan2023 to 2023Enrolled35ConditionsStroke
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Acute ischemic stroke patient factors associated with poor outcomes in patients with favorable collaterals and successful thrombectomy.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025
    Article
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  12. Review
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  15. Deep learning prediction of stroke thrombus red blood cell content from multiparametric MRI.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  16. Article
  17. Application of radiomics in ischemic stroke.The Journal of international medical research · 2024
    Review
  18. Article
  19. Article
  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

13 authors.

W QiuFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0001-7827-8270
H KuangFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0001-7341-9871
J NairFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0003-1730-3801
Z AssisFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0001-9907-4840
M NajmFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0003-3074-4791
C McDougallFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0001-9398-6152
B McDougallFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0001-5266-3701
K ChungCalgary Stroke Program, Mechanical and Manufacturing Engineering (K.C.).ORCID 0000-0003-4031-4365
A T WilsonFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0003-1391-0356
M GoyalFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0001-9060-2109
M D HillFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0002-6269-1543
A M DemchukFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).ORCID 0000-0002-4930-7789
B K MenonFrom the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.) docbijoymenon@gmail.com.ORCID 0000-0002-3466-496X

Funding

Canadian Institute of Health Research
6 · The paper itself

Abstract

background and purposeThrombus characteristics identified on non-contrast CT (NCCT) are potentially associated with recanalization with intravenous (IV) alteplase in patients with acute ischemic stroke (AIS). Our aim was to determine the best radiomics-based features of thrombus on NCCT and CT angiography associated with recanalization with IV alteplase in AIS patients and proximal intracranial thrombi. MATERIALS AND

methodsWith a nested case-control design, 67 patients with ICA/M1 MCA segment thrombus treated with IV alteplase were included in this analysis. Three hundred twenty-six radiomics features were extracted from each thrombus on both NCCT and CTA images. Linear discriminative analysis was applied to select features most strongly associated with early recanalization with IV alteplase. These features were then used to train a linear support vector machine classifier. Ten times 5-fold cross-validation was used to evaluate the accuracy of the trained classifier and the stability of the selected features.

resultsReceiver operating characteristic curves showed that thrombus radiomics features are predictive of early recanalization with IV alteplase. The combination of radiomics features from NCCT, CTA, and radiomics changes is best associated with early recanalization with IV alteplase (area under the curve = 0.85) and was significantly better than any single feature such as thrombus length (

conclusionsThrombus radiomics features derived from NCCT and CTA are more predictive of recanalization with IV alteplase in patients with acute ischemic stroke with proximal occlusion than previously known thrombus imaging features such as length, volume, and permeability.

Indexed as

Support Vector MachineAgedCase-Control StudiesComputed Tomography AngiographyFemaleHumansImage Interpretation, Computer-AssistedIntracranial ThrombosisMaleMiddle AgedNeuroimagingROC CurveStrokeTissue Plasminogen ActivatorTomography, X-Ray ComputedTreatment OutcomeTissue Plasminogen Activator

Identifiers

PMID30573458
PMCPMC7048606

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