Evidence map›Paper›PMID 36735039›Full record

ArticleEuropean radiology2023

Development and validation of a novel radiomics-clinical model for predicting post-stroke epilepsy after first-ever intracerebral haemorrhage.

Ru Lin, Jiahe Lin, Yuchen Xu, Yaoyao Yu, Emma Foster, Mengqi Lin, Huiqin Xu, Xianxian Li, Jiahe Ye, Fei Yao and 10 more

Abstract read
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In one paragraph

Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 3% 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, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 3 institutions in 2 countries.

Ru Lin *Department of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jiahe Lin *Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hunan, China.
Yuchen XuDepartment of Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yaoyao YuDepartment of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Emma FosterDepartment of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC, Australia.
Mengqi LinDepartment of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Huiqin XuDepartment of Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xianxian LiDepartment of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hunan, China.
Jiahe YeDepartment of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hunan, China.
Fei YaoDepartment of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Haoli XuDepartment of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Mengjia ChenFirst Clinical School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jiayi ChenAlberta Institute, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Han ZhengFirst Clinical School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jia LiDepartment of Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Mo ZhengDepartment of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Shanshan HuangDepartment of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hunan, China.
Suiqiang ZhuDepartment of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hunan, China. zhusuiqiang@163.com.
Yunjun YangDepartment of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. yyjunjim@163.com.
Xinshi WangDepartment of Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. wang_xinshi@163.com.ORCID http://orcid.org/0000-0002-1742-5422
Wenzhou Medical University · CNTongji Hospital · CNMonash University · AU

Funding

National Natural Science Foundation of China No. 82001363Zhejiang Provincial Natural Science Foundation No. LY22H090016
6 · The paper itself

Abstract

objectivesPost-stroke epilepsy (PSE) is associated with increased morbidity and mortality. This study aimed to develop and validate a novel prediction model combining clinical factors and radiomics features to accurately identify patients at high risk of developing PSE after intracerebral haemorrhage (ICH).

methodsResearchers performed a retrospective medical chart review to extract derivation and validation cohorts of patients with first-ever ICH that attended two tertiary hospitals in China between 2010 and 2020. Clinical data were extracted from electronic medical records and supplemented by tele-interview. Predictive clinical variables were selected by multivariable logistic regression to build the clinical model. Predictive radiomics features were identified, and a Rad-score was calculated according to the coefficient of the selected feature. Both clinical variables and radiomic features were combined to build the radiomics-clinical model. Performances of the clinical, Rad-score, and combined models were compared.

resultsA total of 1571 patients were included in the analysis. Cortical involvement, early seizures within 7 days of ICH, NIHSS score, and ICH volume were included in the clinical model. Rad-score, instead of ICH volume, was included in the combined model. The combined model exhibited better discrimination ability and achieved an overall better benefit against threshold probability than the clinical model in the decision curve analysis (DCA).

conclusionsThe combined radiomics-clinical model was better able to predict ICH-associated PSE compared to the clinical model. This can help clinicians better predict an individual patient's risk of PSE following a first-ever ICH and facilitate earlier PSE diagnosis and treatment. KEY POINTS: • Radiomics has not been used in predicting the risk of developing PSE. • Higher Rad-scores were associated with higher risk of developing PSE. • The combined model showed better performance of PSE prediction ability.

Indexed as

EpilepsyStrokeCerebral HemorrhageHumansRetrospective StudiesSeizuresCerebral haemorrhageEpilepsyRadiomics

Identifiers

PMID36735039
OpenAlexW4319058218

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.