Evidence map›Paper›PMID 35135064›Full record

ArticleJournal of stroke2022

Deep Learning Approach Using Diffusion-Weighted Imaging to Estimate the Severity of Aphasia in Stroke Patients.

Soo Jeong, Eun-Jae Lee, Yong-Hwan Kim, Jin Cheol Woo, On-Wha Ryu, Miseon Kwon, Sun U Kwon, Jong S Kim, Dong-Wha Kang

Abstract read
In one paragraph

Article in Journal of stroke, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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4 · The record

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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

9 authors.

Soo JeongDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Eun-Jae LeeDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Yong-Hwan KimNunaps Inc., Seoul, Korea.
Jin Cheol WooAsan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
On-Wha RyuDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Miseon KwonDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Sun U KwonDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Jong S KimDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Dong-Wha KangDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Funding

Korea Health Industry Development InstituteMinistry of Health and WelfareMinistry of Science and ICTNational Research Foundation of Korea 2018M3A9E8066249
6 · The paper itself

Abstract

background and purposeThis study aimed to investigate the applicability of deep learning (DL) model using diffusion-weighted imaging (DWI) data to predict the severity of aphasia at an early stage in acute stroke patients.

methodsWe retrospectively analyzed consecutive patients with aphasia caused by acute ischemic stroke in the left middle cerebral artery territory, who visited Asan Medical Center between 2011 and 2013. To implement the DL model to predict the severity of post-stroke aphasia, we designed a deep feed-forward network and utilized the lesion occupying ratio from DWI data and established clinical variables to estimate the aphasia quotient (AQ) score (range, 0 to 100) of the Korean version of the Western Aphasia Battery. To evaluate the performance of the DL model, we analyzed Cohen's weighted kappa with linear weights for the categorized AQ score (0-25, very severe; 26-50, severe; 51-75, moderate; ≥76, mild) and Pearson's correlation coefficient for continuous values.

resultsWe identified 225 post-stroke aphasia patients, of whom 176 were included and analyzed. For the categorized AQ score, Cohen's weighted kappa coefficient was 0.59 (95% confidence interval [CI], 0.42 to 0.76; P<0.001). For continuous AQ score, the correlation coefficient between true AQ scores and model-estimated values was 0.72 (95% CI, 0.55 to 0.83; P<0.001).

conclusionsDL approaches using DWI data may be feasible and useful for estimating the severity of aphasia in the early stage of stroke.

Indexed as

AphasiaDeep learningMagnetic resonance imagingStroke

Identifiers

PMID35135064
PMCPMC8829479

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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.