Evidence map›Paper›PMID 36650639›Full record

ArticleCNS neuroscience & therapeutics2023

Small vessel disease burden predicts functional outcomes in patients with acute ischemic stroke using machine learning.

Xueyang Wang, Jinhao Lyu, Zhihua Meng, Xiaoyan Wu, Wen Chen, Guohua Wang, Qingliang Niu, Xin Li, Yitong Bian, Dan Han and 12 more

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In one paragraph

Article in CNS neuroscience & therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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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

22 authors.

Xueyang WangMedical School of Chinese PLA, Beijing, China.
Jinhao LyuMedical School of Chinese PLA, Beijing, China.
Zhihua MengDepartment of Radiology, Yuebei People's Hospital, Guangdong, China.
Xiaoyan WuDepartment of Radiology, Anshan Changda Hospital, Liaoning, China.
Wen ChenDepartment of Radiology, Shiyan Taihe Hospital, Hubei, China.
Guohua WangDepartment of Radiology, Qingdao Municipal Hospital Affiliated to Qingdao University, Qingdao, China.
Qingliang NiuDepartment of Radiology, WeiFang Traditional Chinese Hospital, Shandong, China.
Xin LiDepartment of Radiology, The Second Hospital of Jilin university, Jilin, China.
Yitong BianDepartment of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, China.
Dan HanDepartment of Radiology, The First Affiliated Hospital of Kunming Medical University, Yunnan, China.
Weiting GuoDepartment of Radiology, Shanxi Provincial People's Hospital, Shanxi, China.
Shuai YangDepartment of Radiology, Xiangya Hospital Central South University, Hunan, China.
Xiangbing BianDepartment of Radiology, Chinese PLA General Hospital, Beijing, China.
Yina LanDepartment of Radiology, Chinese PLA General Hospital, Beijing, China.
Liuxian WangDepartment of Radiology, Chinese PLA General Hospital, Beijing, China.
Qi DuanDepartment of Radiology, Chinese PLA General Hospital, Beijing, China.
Tingyang ZhangDepartment of Radiology, Chinese PLA General Hospital, Beijing, China.
Caohui DuanDepartment of Radiology, Chinese PLA General Hospital, Beijing, China.
Chenglin TianDepartment of Neurology, Chinese PLA General Hospital, Beijing, China.
Ling ChenMedical School of Chinese PLA, Beijing, China.
Xin LouMedical School of Chinese PLA, Beijing, China.ORCID 0000-0003-2980-5171
MR-STARS Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsOur purpose is to assess the role of cerebral small vessel disease (SVD) in prediction models in patients with different subtypes of acute ischemic stroke (AIS).

methodsWe enrolled 398 small-vessel occlusion (SVO) and 175 large artery atherosclerosis (LAA) AIS patients. Functional outcomes were assessed using the modified Rankin Scale (mRS) at 90 days. MRI was performed to assess white matter hyperintensity (WMH), perivascular space (PVS), lacune, and cerebral microbleed (CMB). Logistic regression (LR) and machine learning (ML) were used to develop predictive models to assess the influences of SVD on the prognosis.

resultsIn the feature evaluation of SVO-AIS for different outcomes, the modified total SVD score (Gain: 0.38, 0.28) has the maximum weight, and periventricular WMH (Gain: 0.07, 0.09) was more important than deep WMH (Gain: 0.01, 0.01) in prognosis. In SVO-AIS, SVD performed better than regular clinical data, which is the opposite of LAA-AIS. Among all models, eXtreme gradient boosting (XGBoost) method with optimal index (OI) has the best performance to predict excellent outcome in SVO-AIS. [0.91 (0.84-0.97)].

conclusionsOur results revealed that different SVD markers had distinct prognostic weights in AIS patients, and SVD burden alone may accurately predict the SVO-AIS patients' prognosis.

Indexed as

AtherosclerosisCerebral Small Vessel DiseasesIschemic StrokeStrokeCost of IllnessHumansMachine Learningacute ischemic strokecerebral small vessel diseasemachine learningprediction model

Identifiers

PMID36650639
PMCPMC10018092

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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.