Evidence map›Paper›PMID 35951103›Full record

ArticleJournal of neurology2022

Identification of high-risk intracranial plaques with 3D high-resolution magnetic resonance imaging-based radiomics and machine learning.

Hongxia Li, Jia Liu, Zheng Dong, Xingzhi Chen, Changsheng Zhou, Chencui Huang, Yingle Li, Quanhui Liu, Xiaoqin Su, Xiaoqing Cheng and 1 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  9. A radiomic model based on 7T intracranial vessel wall imaging for identification of culprit middle cerebral artery plaque associated with subcortical infarctions.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
    Article
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  13. Review
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  18. A radiomics-based approach with automated segmentation for identifying symptomatic basilar artery plaques in acute stroke.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    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

11 authors at 6 institutions in 1 country.

Hongxia Li *Department of Medical Imaging, The First School of Clinical Medicine, Jinling Hospital, Southern Medical University, Nanjing, 210002, Jiangsu, China.
Jia Liu *Department of Medical Imaging, The First School of Clinical Medicine, Jinling Hospital, Southern Medical University, Nanjing, 210002, Jiangsu, China.
Zheng DongDepartment of Medical Imaging, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xingzhi ChenDepartment of Research Collaboration, R&D Center, Beijing Deepwise and League of PHD Technology Co., Ltd, Beijing, 100081, China.
Changsheng ZhouDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, Jiangsu, China.
Chencui HuangDepartment of Research Collaboration, R&D Center, Beijing Deepwise and League of PHD Technology Co., Ltd, Beijing, 100081, China.
Yingle LiDepartment of Medical Imaging, The First School of Clinical Medicine, Jinling Hospital, Southern Medical University, Nanjing, 210002, Jiangsu, China.
Quanhui LiuDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, Jiangsu, China.
Xiaoqin SuDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, Jiangsu, China.
Xiaoqing ChengDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, Jiangsu, China. rabbitkiller80@126.com.
Guangming LuDepartment of Medical Imaging, The First School of Clinical Medicine, Jinling Hospital, Southern Medical University, Nanjing, 210002, Jiangsu, China. cjr.luguangming@vip.163.com.
Nanjing General Hospital of Nanjing Military Command · CNNanjing Medical University · CNCenter for High Pressure Science & Technology Advanced Research · CNNanjing University · CNSouthern Medical University · CNXuzhou Medical College · CN

Funding

National Key R&D Program of China 2020AAA0109505
6 · The paper itself

Abstract

backgroundIdentifying high-risk intracranial plaques is significant for the treatment and prevention of stroke.

objectiveTo develop a high-risk plaque model using three-dimensional (3D) high-resolution magnetic resonance imaging (HRMRI) based radiomics features and machine learning.

methods136 patients with documented symptomatic intracranial artery stenosis and available HRMRI data were included. Among these patients, 136 and 92 plaques were identified as symptomatic and asymptomatic plaques, respectively. A conventional model was developed by recording and quantifying the radiological plaque characteristics. Radiomics features from T1-weighted images (T1WI) and contrast-enhanced T1WI (CE-T1WI) were used to construct a high-risk plaque model with linear support vector classification (linear SVC). The radiological and radiomics features were combined to build a combined model. Receiver operating characteristic (ROC) curves were used to evaluate these models.

resultsPlaque length, burden, and enhancement were independently associated with clinical symptoms and were included in the conventional model, which had an AUC of 0.853 vs. 0.837 in the training and test sets. While the radiomics and the combined model showed an improved AUC: 0.923 vs. 0.925 for the training sets and 0.906 vs. 0.903 in the test sets. Both the radiomics model (p = 0.024, p = 0.018) and combined model (p = 0.042, p = 0.049) outperformed the conventional model in the two sets, whereas the performance of the combined model was not significantly different from that of the radiomics model in the two sets (p = 0.583 and p = 0.606).

conclusionThe radiomics model based on 3D HRMRI can accurately differentiate symptomatic from asymptomatic intracranial arterial plaques and significantly outperforms the conventional model.

Indexed as

Plaque, AtheroscleroticStrokeHumansMachine LearningMagnetic Resonance ImagingRetrospective StudiesROC CurveHigh-resolution magnetic resonance imagingIntracranial atherosclerotic diseaseMachine learningRadiomicsStroke

Identifiers

PMID35951103
OpenAlexW4290993475

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.