Evidence map›Paper›PMID 36071896›Full record

ArticleFrontiers in neurology2022

Ischemic and haemorrhagic stroke risk estimation using a machine-learning-based retinal image analysis.

Yimin Qu, Yuanyuan Zhuo, Jack Lee, Xingxian Huang, Zhuoxin Yang, Haibo Yu, Jinwen Zhang, Weiqu Yuan, Jiaman Wu, David Owens and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 3 countries.

Yimin QuCentre for Clinical Research and Biostatistics, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Yuanyuan ZhuoShenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
Jack LeeCentre for Clinical Research and Biostatistics, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Xingxian HuangShenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
Zhuoxin YangShenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
Haibo YuShenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
Jinwen ZhangShenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
Weiqu YuanShenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
Jiaman WuAffiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China.
David OwensSwansea University, Wales, United Kingdom.
Benny ZeeCentre for Clinical Research and Biostatistics, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Shenzhen Pingle Orthopedic Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNChinese University of Hong Kong · CNSouthern Medical University · CNShenzhen Maternity and Child Healthcare Hospital · CNSwansea University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stroke is the second leading cause of death worldwide, causing a considerable disease burden. Ischemic stroke is more frequent, but haemorrhagic stroke is responsible for more deaths. The clinical management and treatment are different, and it is advantageous to classify their risk as early as possible for disease prevention. Furthermore, retinal characteristics have been associated with stroke and can be used for stroke risk estimation. This study investigated machine learning approaches to retinal images for risk estimation and classification of ischemic and haemorrhagic stroke. Study design: A case-control study was conducted in the Shenzhen Traditional Chinese Medicine Hospital. According to the computerized tomography scan (CT) or magnetic resonance imaging (MRI) results, stroke patients were classified as either ischemic or hemorrhage stroke. In addition, a control group was formed using non-stroke patients from the hospital and healthy individuals from the community. Baseline demographic and medical information was collected from participants' hospital medical records. Retinal images of both eyes of each participant were taken within 2 weeks of admission. Classification models using a machine-learning approach were developed. A 10-fold cross-validation method was used to validate the results. Results: 711 patients were included, with 145 ischemic stroke patients, 86 haemorrhagic stroke patients, and 480 controls. Based on 10-fold cross-validation, the ischemic stroke risk estimation has a sensitivity and a specificity of 91.0% and 94.8%, respectively. The area under the ROC curve for ischemic stroke is 0.929 (95% CI 0.900 to 0.958). The haemorrhagic stroke risk estimation has a sensitivity and a specificity of 93.0% and 97.1%, respectively. The area under the ROC curve is 0.951 (95% CI 0.918 to 0.983). Conclusion: A fast and fully automatic method can be used for stroke subtype risk assessment and classification based on fundus photographs alone.

Indexed as

haemorrhagic strokeischemic strokemachine-learning methodretinal image analysisstroke subtypes classification

Identifiers

PMID36071896
PMCPMC9441897
OpenAlexW4292590676

What OpenQuestion holds

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LicenceCC BY
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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.