Evidence map›Paper›PMID 34609913›Full record

ArticleThe neuroradiology journal2022

Value of machine learning to predict functional outcome of endovascular treatment for acute ischaemic stroke of the posterior circulation.

Ludger Feyen, Peter Schott, Hendrik Ochmann, Marcus Katoh, Patrick Haage, Patrick Freyhardt

Open access · greenAbstract read
In one paragraph

Article in The neuroradiology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Outcome prediction prior to thrombectomy of the posterior circulation with machine learning.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
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.

Ludger FeyenDepartment of Diagnostic and Interventional Radiology, 27664HELIOS Klinikum Krefeld, Helios Klinikum Krefeld, Germany.ORCID https://orcid.org/0000-0002-8887-0275
Peter SchottDepartment of Diagnostic and Interventional Radiology, 27664HELIOS Klinikum Krefeld, Helios Klinikum Krefeld, Germany.
Hendrik OchmannDepartment of Diagnostic and Interventional Radiology, 27664HELIOS Klinikum Krefeld, Helios Klinikum Krefeld, Germany.
Marcus KatohDepartment of Diagnostic and Interventional Radiology, 27664HELIOS Klinikum Krefeld, Helios Klinikum Krefeld, Germany.
Patrick HaageUniversity Witten/Herdecke, Faculty of Health, School of Medicine, Germany.
Patrick FreyhardtDepartment of Diagnostic and Interventional Radiology, 27664HELIOS Klinikum Krefeld, Helios Klinikum Krefeld, Germany.
Helios Klinikum Krefeld · DEWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeClinical outcomes vary considerably among individuals with vessel occlusion of the posterior circulation. In the present study we evaluated machine learning algorithms in their ability to discriminate between favourable and unfavourable outcomes in patients with endovascular treatment of acute ischaemic stroke of the posterior circulation.

methodsThis retrospective study evaluated three algorithms (generalised linear model, K-nearest neighbour and random forest) to predict functional outcomes at dismissal of 30 patients with acute occlusion of the basilar artery who were treated with thrombectomy. Input variables encompassed baseline as well as peri and postprocedural data. Favourable outcome was defined as a modified Rankin scale score of 0-2 and unfavourable outcome was defined as a modified Rankin scale score of 3-6. The performance of the algorithms was assessed with the area under the receiver operating curve and with confusion matrixes.

resultsSuccessful reperfusion was achieved in 83%, with 30% of the patients having a favourable outcome. The area under the curve was 0.93 for the random forest model, 0.86 for the K-nearest neighbour model and 0.78 for the generalised linear model. The accuracy was 0.69 for the generalised linear model and 0.84 for the random forest and the K nearest neighbour models.

conclusionFavourable and unfavourable outcomes at dismissal of patients with acute ischaemic stroke of the posterior circulation can be predicted immediately after the follow-up non-enhanced computed tomography using machine learning.

Indexed as

Brain IschemiaEndovascular ProceduresIschemic StrokeStrokeVertebrobasilar InsufficiencyHumansMachine LearningRetrospective StudiesThrombectomyTreatment Outcomebasilar artery occlusionmachine learningoutcome predictionposterior circulationrandom forestStroke

Identifiers

PMID34609913
PMCPMC9244747
OpenAlexW3203781175

What OpenQuestion holds

Textmetadata
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.