Evidence map›Paper›PMID 33937812›Full record

ArticleRadiology. Artificial intelligence2020

Machine Learning Classification of Cerebral Aneurysm Rupture Status with Morphologic Variables and Hemodynamic Parameters.

Satoru Tanioka, Fujimaro Ishida, Atsushi Yamamoto, Shigetoshi Shimizu, Hiroshi Sakaida, Mitsuru Toyoda, Nobuhisa Kashiwagi, Hidenori Suzuki

Abstract read
In one paragraph

Article in Radiology. Artificial intelligence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 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.

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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Systematic Review of Radiomics and Artificial Intelligence in Intracranial Aneurysm Management.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Pooled it
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  12. Computational fluid dynamics and shape analysis enhance aneurysm rupture risk stratification.International journal of computer assisted radiology and surgery · 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

8 authors.

Satoru TaniokaDepartment of Neurosurgery, Mie Chuo Medical Center, 2158-5 Myojin-cho, Hisai, Tsu, Mie 514-1101, Japan (S.T., F.I.); Department of Neurosurgery, Kuwana City Medical Center, Kuwana, Japan (A.Y., H. Sakaida); Department of Neurosurgery, Suzuka Central General Hospital, Suzuka, Japan (S.S.); School of Statistical Thinking, The Institute of Statistical Mathematics, Tachikawa, Japan (M.T., N.K.); and Department of Neurosurgery, Mie University Graduate School of Medicine, Tsu, Japan (H. Suzuki).ORCID 0000-0002-4678-6163
Fujimaro IshidaDepartment of Neurosurgery, Mie Chuo Medical Center, 2158-5 Myojin-cho, Hisai, Tsu, Mie 514-1101, Japan (S.T., F.I.); Department of Neurosurgery, Kuwana City Medical Center, Kuwana, Japan (A.Y., H. Sakaida); Department of Neurosurgery, Suzuka Central General Hospital, Suzuka, Japan (S.S.); School of Statistical Thinking, The Institute of Statistical Mathematics, Tachikawa, Japan (M.T., N.K.); and Department of Neurosurgery, Mie University Graduate School of Medicine, Tsu, Japan (H. Suzuki).ORCID 0000-0001-6324-027X
Atsushi YamamotoDepartment of Neurosurgery, Mie Chuo Medical Center, 2158-5 Myojin-cho, Hisai, Tsu, Mie 514-1101, Japan (S.T., F.I.); Department of Neurosurgery, Kuwana City Medical Center, Kuwana, Japan (A.Y., H. Sakaida); Department of Neurosurgery, Suzuka Central General Hospital, Suzuka, Japan (S.S.); School of Statistical Thinking, The Institute of Statistical Mathematics, Tachikawa, Japan (M.T., N.K.); and Department of Neurosurgery, Mie University Graduate School of Medicine, Tsu, Japan (H. Suzuki).
Shigetoshi ShimizuDepartment of Neurosurgery, Mie Chuo Medical Center, 2158-5 Myojin-cho, Hisai, Tsu, Mie 514-1101, Japan (S.T., F.I.); Department of Neurosurgery, Kuwana City Medical Center, Kuwana, Japan (A.Y., H. Sakaida); Department of Neurosurgery, Suzuka Central General Hospital, Suzuka, Japan (S.S.); School of Statistical Thinking, The Institute of Statistical Mathematics, Tachikawa, Japan (M.T., N.K.); and Department of Neurosurgery, Mie University Graduate School of Medicine, Tsu, Japan (H. Suzuki).
Hiroshi SakaidaDepartment of Neurosurgery, Mie Chuo Medical Center, 2158-5 Myojin-cho, Hisai, Tsu, Mie 514-1101, Japan (S.T., F.I.); Department of Neurosurgery, Kuwana City Medical Center, Kuwana, Japan (A.Y., H. Sakaida); Department of Neurosurgery, Suzuka Central General Hospital, Suzuka, Japan (S.S.); School of Statistical Thinking, The Institute of Statistical Mathematics, Tachikawa, Japan (M.T., N.K.); and Department of Neurosurgery, Mie University Graduate School of Medicine, Tsu, Japan (H. Suzuki).
Mitsuru ToyodaDepartment of Neurosurgery, Mie Chuo Medical Center, 2158-5 Myojin-cho, Hisai, Tsu, Mie 514-1101, Japan (S.T., F.I.); Department of Neurosurgery, Kuwana City Medical Center, Kuwana, Japan (A.Y., H. Sakaida); Department of Neurosurgery, Suzuka Central General Hospital, Suzuka, Japan (S.S.); School of Statistical Thinking, The Institute of Statistical Mathematics, Tachikawa, Japan (M.T., N.K.); and Department of Neurosurgery, Mie University Graduate School of Medicine, Tsu, Japan (H. Suzuki).ORCID 0000-0002-2443-4642
Nobuhisa KashiwagiDepartment of Neurosurgery, Mie Chuo Medical Center, 2158-5 Myojin-cho, Hisai, Tsu, Mie 514-1101, Japan (S.T., F.I.); Department of Neurosurgery, Kuwana City Medical Center, Kuwana, Japan (A.Y., H. Sakaida); Department of Neurosurgery, Suzuka Central General Hospital, Suzuka, Japan (S.S.); School of Statistical Thinking, The Institute of Statistical Mathematics, Tachikawa, Japan (M.T., N.K.); and Department of Neurosurgery, Mie University Graduate School of Medicine, Tsu, Japan (H. Suzuki).
Hidenori SuzukiDepartment of Neurosurgery, Mie Chuo Medical Center, 2158-5 Myojin-cho, Hisai, Tsu, Mie 514-1101, Japan (S.T., F.I.); Department of Neurosurgery, Kuwana City Medical Center, Kuwana, Japan (A.Y., H. Sakaida); Department of Neurosurgery, Suzuka Central General Hospital, Suzuka, Japan (S.S.); School of Statistical Thinking, The Institute of Statistical Mathematics, Tachikawa, Japan (M.T., N.K.); and Department of Neurosurgery, Mie University Graduate School of Medicine, Tsu, Japan (H. Suzuki).ORCID 0000-0002-8555-5448

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo construct a classification model of rupture status and to clarify the importance of morphologic variables and hemodynamic parameters on rupture status by applying a machine learning (ML) algorithm to morphologic and hemodynamic data of cerebral aneurysms. MATERIALS AND

methodsBetween 2011 and 2019, 226 (112 ruptured and 114 unruptured) cerebral aneurysms in 188 consecutive patients were retrospectively analyzed with computational fluid dynamics (CFD). A random forest ML algorithm was applied to the results to create three classification models consisting of only morphologic variables (model 1), only hemodynamic parameters (model 2), and both morphologic variables and hemodynamic parameters (model 3). The accuracy of rupture status classification and the importance of each variable or parameter in the models were computed.

resultsThe accuracy was 77.0% in model 1, 71.2% in model 2, and 78.3% in model 3. The three most important features were projection ratio, size ratio, and aspect ratio in model 1; low shear area ratio, oscillatory shear index, and oscillatory velocity index in model 2; and projection ratio, irregular shape, and size ratio in model 3.

conclusionClassification models of rupture status of cerebral aneurysms were constructed by applying an ML algorithm to morphologic variables and hemodynamic parameters. The model worked with relatively high accuracy, in which projection ratio, irregular shape, and size ratio were important for the discrimination of ruptured aneurysms.

Identifiers

PMID33937812
PMCPMC8017392

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