Evidence map›Paper›PMID 34170502›Full record

ArticleNeurology and therapy2021

A Clinical-Radiomics Nomogram for Functional Outcome Predictions in Ischemic Stroke.

Hao Wang, Yi Sun, Yaqiong Ge, Pu-Yeh Wu, Jixian Lin, Jing Zhao, Bin Song

Open access · goldAbstract read
In one paragraph

Article in Neurology and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

33 citing papers in PubMed, 45 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Hao Wang *Department of Radiology, Minhang Hospital, Fudan University, Shanghai, 201199, China.
Yi Sun *Department of Radiology, Minhang Hospital, Fudan University, Shanghai, 201199, China.
Yaqiong GeDepartment of Medicine, GE Healthcare, Shanghai, 210000, China.
Pu-Yeh WuDepartment of Medicine, GE Healthcare, Beijing, 100176, China.
Jixian LinDepartment of Neurology, Minhang Hospital, Fudan University, Shanghai, 201199, China.
Jing ZhaoDepartment of Neurology, Minhang Hospital, Fudan University, Shanghai, 201199, China. zhao_jing@fudan.edu.cn.
Bin SongDepartment of Radiology, Minhang Hospital, Fudan University, Shanghai, 201199, China. songbin@fudan.edu.cn.ORCID http://orcid.org/0000-0001-8493-2523
Fudan University · CNUnited Imaging Healthcare (China) · CN

Funding

National Natural Science Foundation of China 81973157
6 · The paper itself

Abstract

introductionStroke remains a leading cause of death and disability worldwide. Effective and prompt prognostic evaluation is vital for determining the appropriate management strategy. Radiomics is an emerging noninvasive method used to identify the quantitative imaging indicators for predicting important clinical outcomes. This study was conducted to investigate and validate a radiomics nomogram for predicting ischemic stroke prognosis using the modified Rankin scale (mRS).

methodsA total of 598 consecutive patients with subacute infarction confirmed by diffusion-weighted imaging (DWI), from January 2018 to December 2019, were retrospectively assessed. They were assigned to the good (mRS ≤ 2) and poor (mRS > 2) functional outcome groups, respectively. Then, 399 patients examined by MR scanner 1 and 199 patients scanned by MR scanner 2 were assigned to the training and validation cohorts, respectively. Infarction lesions underwent manual segmentation on DWI, extracting 402 radiomic features. A radiomics nomogram encompassing patient characteristics and the radiomics signature was built using a multivariate logistic regression model. The performance of the nomogram was evaluated in the training and validation cohorts. Ultimately, decision curve analysis was implemented to assess the clinical value of the nomogram. The performance of infarction lesion volume was also evaluated using univariate analysis.

resultsStroke lesion volume showed moderate performance, with an area under the curve (AUC) of 0.678. The radiomics signature, including 11 radiomics features, exhibited good prediction performance. The radiomics nomogram, encompassing clinical characteristics (age, hemorrhage, and 24 h National Institutes of Health Stroke Scale score) and the radiomics signature, presented good discriminatory potential in the training cohort [AUC = 0.80; 95% confidence interval (CI) 0.75-0.86], which was validated in the validation cohort (AUC = 0.73; 95% CI 0.63-0.82). In addition, it demonstrated good calibration in the training (p = 0.55) and validation (p = 0.21) cohorts. Decision curve analysis confirmed the clinical value of this nomogram.

conclusionThis novel noninvasive clinical-radiomics nomogram shows good performance in predicting ischemic stroke prognosis.

Indexed as

Diffusion-weighted imagingMagnetic resonance imagingNomogramRadiomicsStroke

Identifiers

PMID34170502
PMCPMC8571444
OpenAlexW3172004399

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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.