Evidence map›Paper›PMID 33173737›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2020

Rapid Computer-Aided Diagnosis of Stroke by Serum Metabolic Fingerprint Based Multi-Modal Recognition.

Wei Xu, Jixian Lin, Ming Gao, Yuhan Chen, Jing Cao, Jun Pu, Lin Huang, Jing Zhao, Kun Qian

Open access · goldAbstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  6. Fast Label-Free Metabolic Profile Recognition Identifies Phenylketonuria and Subtypes.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
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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

9 authors at 3 institutions in 1 country.

Wei XuState Key Laboratory for Oncogenes and Related Genes Division of Cardiology Renji Hospital School of Medicine Shanghai Jiao Tong University 160 Pujian Road Shanghai 200127 P. R. China.
Jixian LinDepartment of Neurology Minhang Hospital Fudan University 170 Xinsong Road Shanghai 201199 P. R. China.
Ming GaoSchool of Management Science and Engineering Dongbei University of Finance and Economics Dalian 116025 P. R. China.
Yuhan ChenSchool of Management Science and Engineering Dongbei University of Finance and Economics Dalian 116025 P. R. China.
Jing CaoState Key Laboratory for Oncogenes and Related Genes Division of Cardiology Renji Hospital School of Medicine Shanghai Jiao Tong University 160 Pujian Road Shanghai 200127 P. R. China.
Jun PuState Key Laboratory for Oncogenes and Related Genes Division of Cardiology Renji Hospital School of Medicine Shanghai Jiao Tong University 160 Pujian Road Shanghai 200127 P. R. China.
Lin HuangStem Cell Research Center Renji Hospital School of Medicine Shanghai Jiao Tong University 160 Pujian Road Shanghai 200127 P. R. China.
Jing ZhaoDepartment of Neurology Minhang Hospital Fudan University 170 Xinsong Road Shanghai 201199 P. R. China.
Kun QianState Key Laboratory for Oncogenes and Related Genes Division of Cardiology Renji Hospital School of Medicine Shanghai Jiao Tong University 160 Pujian Road Shanghai 200127 P. R. China.ORCID https://orcid.org/0000-0003-1666-1965
Shanghai Jiao Tong University · CNDongbei University of Finance and Economics · CNFudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stroke is a leading cause of mortality and disability worldwide, expected to result in 61 million disability-adjusted life-years in 2020. Rapid diagnostics is the core of stroke management for early prevention and medical treatment. Serum metabolic fingerprints (SMFs) reflect underlying disease progression, predictive of patient phenotypes. Deep learning (DL) encoding SMFs with clinical indexes outperforms single biomarkers, while posing challenges with poor prediction to interpret by feature selection. Herein, rapid computer-aided diagnosis of stroke is performed using SMF based multi-modal recognition by DL, to combine adaptive machine learning with a novel feature selection approach. SMFs are extracted by nano-assisted laser desorption/ionization mass spectrometry (LDI MS), consuming 100 nL of serum in seconds. A multi-modal recognition is constructed by integrating SMFs and clinical indexes with an enhanced area under curve (AUC) up to 0.845 for stroke screening, compared to single-modal diagnosis by only SMFs or clinical indexes. The prediction of DL is addressed by selecting 20 key metabolite features with differential regulation through a saliency map approach, shedding light on the molecular mechanisms in stroke. The approach highlights the emerging role of DL in precision medicine and suggests an expanding utility for computational analysis of SMFs in stroke screening.

Indexed as

deep learningdiagnosticsmass spectrometrymetabolic fingerprintsstroke

Identifiers

PMID33173737
PMCPMC7610260
OpenAlexW3089305416

What OpenQuestion holds

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LicenceCC BY
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.