Evidence map›Paper›PMID 33496810›Full record

ArticleClinical neuroradiology2021

SVM-Based Normal Pressure Hydrocephalus Detection.

Alexander Rau, Suam Kim, Shan Yang, Marco Reisert, Elias Kellner, Ikram Eda Duman, Bram Stieltjes, Marc Hohenhaus, Jürgen Beck, Horst Urbach and 1 more

Abstract read
In one paragraph

Article in Clinical neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 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.

Alexander RauDepartment of Neuroradiology, Medical Center, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, Germany. alexander.rau@uniklinik-freiburg.de.ORCID http://orcid.org/0000-0001-5881-6043
Suam KimDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.
Shan YangDepartment of Research and Analysis, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0002-5209-0576
Marco ReisertMedical Physics, Department of Radiology, Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0003-2742-1940
Elias KellnerMedical Physics, Department of Radiology, Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0001-9494-2354
Ikram Eda DumanDepartment of Neuroradiology, Medical Center, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, Germany.ORCID http://orcid.org/0000-0003-2791-8324
Bram StieltjesDepartment of Research and Analysis, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0002-5961-802X
Marc HohenhausDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-8743-3161
Jürgen BeckDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-7687-6098
Horst UrbachDepartment of Neuroradiology, Medical Center, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, Germany.ORCID http://orcid.org/0000-0001-7264-4807
Karl EggerDepartment of Neuroradiology, Medical Center, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, Germany.ORCID http://orcid.org/0000-0002-7753-4815

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAs magnetic resonance imaging (MRI) signs of normal pressure hydrocephalus (NPH) may precede clinical symptoms we sought to evaluate an algorithm that automatically detects this pattern.

methodsA support vector machine (SVM) was trained in 30 NPH patients treated with ventriculoperitoneal shunts and 30 healthy controls. For comparison, four neuroradiologists visually assessed sagittal MPRAGE images and graded them as no NPH pattern, possible NPH pattern, or definite NPH pattern.

resultsHuman accuracy to visually detect a NPH was between 0.85 and 0.97. Interobserver agreement was substantial (κ = 0.656). Accuracy of the SVM algorithm was 0.93 and AUROC 0.99. Among 272 prespecified regions, gray matter and CSF volumes of both caudate, the right parietal operculum, the left basal forebrain, and the 4th ventricle showed the highest discriminative power to separate a NPH and a no NPH pattern.

conclusionA NPH pattern can be reliably detected using a support vector machine (SVM). Its role in the work-up of asymptomatic patients or neurodegenerative disease has to be evaluated.

Indexed as

Hydrocephalus, Normal PressureNeurodegenerative DiseasesHumansSupport Vector MachineTreatment OutcomeVentriculoperitoneal ShuntArtificial intelligenceCSF shuntMachine learningNormal pressure hydrocephalusSupport vector machine

Identifiers

PMID33496810
PMCPMC8648647

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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.