Evidence map›Paper›PMID 33624945›Full record

Trial reportBrain and behavior2021

Prognostic prediction of hypertensive intracerebral hemorrhage using CT radiomics and machine learning.

Xinghua Xu, Jiashu Zhang, Kai Yang, Qun Wang, Xiaolei Chen, Bainan Xu

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 5 pooled it
6.2field-weighted citation impact, top 3% 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

46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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  14. CT-Based deep learning platform combined with clinical parameters for predicting different discharge outcome in spontaneous intracerebral hemorrhage.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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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

6 authors at 2 institutions in 1 country.

Xinghua XuDepartment of Neurosurgery, The First Medical Center of Chinese PLA General Hospital, Beijing, China.ORCID 0000-0002-3146-8832
Jiashu ZhangDepartment of Neurosurgery, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Kai YangDepartment of Neurosurgery, Dongying People's Hospital, Dongying, China.
Qun WangDepartment of Neurosurgery, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Xiaolei ChenDepartment of Neurosurgery, The First Medical Center of Chinese PLA General Hospital, Beijing, China.ORCID 0000-0002-3407-621X
Bainan XuDepartment of Neurosurgery, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNWenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSpontaneous intracerebral hemorrhage remains a major cause of death and disability throughout the world. We tried to establish accurate long-term outcome prediction models for hypertensive intracerebral hemorrhage (HICH) using CT radiomics and machine learning.

methodsIn a retrospective study of 270 patients with HICH between June 2013 and June 2018, CT images and patients' 6-month outcome based on the modified Rankin Scale were collected. Hematomas on CT images were selected as volumes of interests (VOIs), and 1,029 radiomics features of the VOIs were extracted. Based on correlations with patients' outcome, radiomics features underwent dimensionality reduction analyses. Then, the support vector machine (SVM), k-nearest neighbor (KNN), logistic regression (LR), decision tree (DT), random forest (RF), and XGBoost algorithms were applied with the screened features to establish prognostic prediction models of HICH. Accuracies of all models were compared.

resultsEighteen radiomics features were screened as prognosis-associated radiomics signature of HICH based on the variance threshold, SelectKBest, and least absolute shrinkage and selection operator (LASSO) regression models. Patients were randomly allocated into training (n = 215) and validation (n = 55) sets. Accuracies of all 6 machine learning algorithms in the validation set exceeded 80%. The sensitivity, specificity, and accuracy in the validation set were 93.3%, 92.5%, and 92.7% for the RF model and 92.3%, 88.1%, and 89.1% for the XGBoost model, respectively, which were the best two among all models.

conclusionsTaking advantage of radiomics and machine learning, we established accurate prognostic prediction models of HICH. The RF model and XGBoost model returned the best accuracies.

Indexed as

Intracranial Hemorrhage, HypertensiveHumansMachine LearningPrognosisRetrospective StudiesTomography, X-Ray Computedartificial intelligenceintracerebral hemorrhagemachine learningprognosisradiomics

Identifiers

PMID33624945
PMCPMC8119849
OpenAlexW3131722778

What OpenQuestion holds

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LicenceCC BY
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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.