Evidence map›Paper›PMID 36292081›Full record

ArticleDiagnostics (Basel, Switzerland)2022

An Explainable Machine Learning Pipeline for Stroke Prediction on Imbalanced Data.

Christos Kokkotis, Georgios Giarmatzis, Erasmia Giannakou, Serafeim Moustakidis, Themistoklis Tsatalas, Dimitrios Tsiptsios, Konstantinos Vadikolias, Nikolaos Aggelousis

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
12.0field-weighted citation impact, top 1% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
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  7. Evaluating XAI techniques under class imbalance using CPRD data.Frontiers in artificial intelligence · 2025
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  19. What's the Future of Vascular Neurology?Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
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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

8 authors at 2 institutions in 1 country.

Christos KokkotisDepartment of Physical Education and Sport Science, Democritus University of Thrace, 69100 Komotini, Greece.
Georgios GiarmatzisDepartment of Physical Education and Sport Science, Democritus University of Thrace, 69100 Komotini, Greece.ORCID 0000-0003-1387-2134
Erasmia GiannakouDepartment of Physical Education and Sport Science, Democritus University of Thrace, 69100 Komotini, Greece.
Serafeim MoustakidisAIDEAS OÜ, Narva mnt 5, 10117 Tallinn, Estonia.ORCID 0000-0002-1090-2177
Themistoklis TsatalasDepartment of Physical Education and Sport Science, University of Thessaly, 38221 Trikala, Greece.ORCID 0000-0002-6658-5764
Dimitrios TsiptsiosDepartment of Neurology, School of Medicine, University Hospital of Alexandroupolis, Democritus University of Thrace, 68100 Alexandroupolis, Greece.ORCID 0000-0002-1601-8788
Konstantinos VadikoliasDepartment of Neurology, School of Medicine, University Hospital of Alexandroupolis, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Nikolaos AggelousisDepartment of Physical Education and Sport Science, Democritus University of Thrace, 69100 Komotini, Greece.
Democritus University of Thrace · GRUniversity of Thessaly · GR

Funding

Greek and European funds (EYD-EPANEK) MIS 5047286
6 · The paper itself

Abstract

Stroke is an acute neurological dysfunction attributed to a focal injury of the central nervous system due to reduced blood flow to the brain. Nowadays, stroke is a global threat associated with premature death and huge economic consequences. Hence, there is an urgency to model the effect of several risk factors on stroke occurrence, and artificial intelligence (AI) seems to be the appropriate tool. In the present study, we aimed to (i) develop reliable machine learning (ML) prediction models for stroke disease; (ii) cope with a typical severe class imbalance problem, which is posed due to the stroke patients' class being significantly smaller than the healthy class; and (iii) interpret the model output for understanding the decision-making mechanism. The effectiveness of the proposed ML approach was investigated in a comparative analysis with six well-known classifiers with respect to metrics that are related to both generalization capability and prediction accuracy. The best overall false-negative rate was achieved by the Multi-Layer Perceptron (MLP) classifier (18.60%). Shapley Additive Explanations (SHAP) were employed to investigate the impact of the risk factors on the prediction output. The proposed AI method could lead to the creation of advanced and effective risk stratification strategies for each stroke patient, which would allow for timely diagnosis and the right treatments.

Indexed as

clinical datainterpretationmachine learningprognosisstroke

Identifiers

PMID36292081
PMCPMC9600473
OpenAlexW4303628472

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.