Evidence map›Paper›PMID 34755198›Full record

ArticleNeuroradiology2022

Identification of successful cerebral reperfusions (mTICI ≥2b) using an artificial intelligence strategy.

Gabriel Neves, Pranav Warman, Tulio Bueso, Walter Duarte-Celada, Thomas Windisch

Abstract read
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In one paragraph

Article in Neuroradiology, 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
0.8field-weighted citation impact, top 27% 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, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
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

5 authors at 2 institutions in 1 country.

Gabriel Neves *Department of Neurology, Texas Tech University Medical Sciences Center, Room 3A105, 3601 4th street, Lubbock, TX, 79430, USA. gabriel.neves@ttuhsc.edu.ORCID http://orcid.org/0000-0003-4635-1597
Pranav Warman *Duke University School of Medicine, Durham, NC, USA.
Tulio BuesoDepartment of Neurology, Texas Tech University Medical Sciences Center, Room 3A105, 3601 4th street, Lubbock, TX, 79430, USA.
Walter Duarte-CeladaDepartment of Neurology, Texas Tech University Medical Sciences Center, Room 3A105, 3601 4th street, Lubbock, TX, 79430, USA.
Thomas WindischDepartment of Neurology, Texas Tech University Medical Sciences Center, Room 3A105, 3601 4th street, Lubbock, TX, 79430, USA.
Texas Tech University · USDuke University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe modified thrombolysis in cerebral infarction (mTICI) scale is a widely used and validated qualitative tool to evaluate angiographic intracerebral inflow following endovascular thrombectomy (EVT). We validated a machine-learning (ML) algorithm to grade digital subtraction angiograms (DSA) using the mTICI scale. MATERIALS AND

methodsWe included angiograms of identified middle cerebral artery (MCA) occlusions who underwent EVT. The complete DSA sequences were preprocessed and normalized. We created three convolutional neural networks to classify DSA into two outcomes, low- (mTICI 0,1,2a) and high-grade (mTICI 2b,2c,3).

resultsWe included a total of 234 angiograms in this study. The area under the receiver operating characteristic was 0.863 (95% CI 0.816-0.909), 0.914 (95% CI 0.876-0.951), and 0.890 (95% CI 0.848-0.932) for the anteroposterior (AP), lateral (L), and combined models, respectively, when dichotomizing outcomes into low and high grade. The models' area under the precision-recall curve was 0.879 (95% CI 0.829-0.930), 0.906 (95% CI 0.844-0.968), and 0.887 (95% CI 0.834-0.941) for the AP, L, and combined models.

conclusionIn complete cerebral DSA, our angiography-based ML strategy was able to predict mTICI scores following EVT rapidly and reliably for MCA occlusions.

Indexed as

Brain IschemiaEndovascular ProceduresStrokeArtificial IntelligenceHumansReperfusionRetrospective StudiesThrombectomyTreatment OutcomeAcute ischemic strokeand Modified thrombolysis in cerebral infarction (mTICI)Artificial intelligenceEndovascular thrombectomy

Identifiers

PMID34755198
OpenAlexW3211535149

What OpenQuestion holds

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Registered trials

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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.