Evidence map›Paper›PMID 31019998›Full record

ArticleAnnals of clinical and translational neurology2019

Characterization of clot composition in acute cerebral infarct using machine learning techniques.

Jong-Won Chung, Yoon-Chul Kim, Jihoon Cha, Eun-Hyeok Choi, Byung Moon Kim, Woo-Keun Seo, Gyeong-Moon Kim, Oh Young Bang

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

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  11. Big Data and Atrial Fibrillation: Current Understanding and New Opportunities.Journal of cardiovascular translational research · 2020
    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

8 authors at 2 institutions in 1 country.

Jong-Won ChungDepartment of Neurology Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea.ORCID https://orcid.org/0000-0002-9200-8899
Yoon-Chul KimClinical Research Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea.
Jihoon ChaDepartment of Radiology Yonsei University Medical Center Yonsei University College of Medicine Seoul Republic of Korea.
Eun-Hyeok ChoiDepartment of Neurology Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea.
Byung Moon KimDepartment of Radiology Yonsei University Medical Center Yonsei University College of Medicine Seoul Republic of Korea.
Woo-Keun SeoDepartment of Neurology Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea.
Gyeong-Moon KimDepartment of Neurology Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea.
Oh Young BangDepartment of Neurology Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea.
Samsung Medical Center · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveClot characteristics can provide information on the cause of cerebral artery occlusion and may guide acute revascularization and secondary prevention strategies. We developed a rapid automated clot analysis system using machine learning (ML) and validated its accuracy in patients undergoing endovascular treatment.

methodsPre-endovascular treatment gradient echo (GRE) images from consecutive patients with middle cerebral artery occlusion were utilized to develop and validate an ML system to predict whether atrial fibrillation (AF) was the underlying cause of ischemic stroke. The accuracy of the ML algorithm was compared with that of visual inspection by neuroimaging specialists for the presence of blooming artifact. Endovascular procedures and outcomes were compared in patients with and without AF.

resultsOf 67 patients, 29 (43.3%) had AF. Of these, 13 had known AF and 16 were newly diagnosed with cardiac monitoring. By visual inspection, interrater correlation for blooming artifact was 0.73 and sensitivity and specificity for AF were 0.79 and 0.63, respectively. For AF classification, the ML algorithms yielded an average accuracy of > 75.4% in fivefold cross-validation with clot signal profiles obtained from 52 patients and an area under the curve >0.87 for the average AF probability from five signal profiles in external validation (

interpretationML-based rapid clot analysis is feasible and can identify AF with high accuracy, enabling selection of endovascular treatment strategy.

Indexed as

Machine LearningAcute DiseaseAdultAgedAged, 80 and overAtrial FibrillationBrain IschemiaEndovascular ProceduresFemaleHumansInfarction, Middle Cerebral ArteryMaleMiddle AgedNeuroimagingStrokeThrombosis

Identifiers

PMID31019998
PMCPMC6469248
OpenAlexW2919207633

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.