Evidence map›Paper›PMID 37582829›Full record

ArticleNature communications2023

Deep-learning based detection of vessel occlusions on CT-angiography in patients with suspected acute ischemic stroke.

Gianluca Brugnara, Michael Baumgartner, Edwin David Scholze, Katerina Deike-Hofmann, Klaus Kades, Jonas Scherer, Stefan Denner, Hagen Meredig, Aditya Rastogi, Mustafa Ahmed Mahmutoglu and 15 more

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Redefining Stroke Care with Artificial Intelligence: Recent Advances.Current neurology and neuroscience reports · 2026
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Observational
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  19. AI and Neurology.Neurological research and practice · 2025
    Review
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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

25 authors.

Gianluca Brugnara *Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-2461-1407
Michael Baumgartner *Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0003-4455-9917
Edwin David Scholze *Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-6312-0849
Katerina Deike-HofmannDepartment of Neuroradiology, Bonn University Hospital, Bonn, Germany.
Klaus KadesDivision of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Jonas SchererDivision of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0001-8608-6252
Stefan DennerDivision of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Hagen MeredigDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Aditya RastogiDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Mustafa Ahmed MahmutogluDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Christian UlfertDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-3642-350X
Ulf NeubergerDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Silvia SchönenbergerNeurology Clinic, Heidelberg University Hospital, Heidelberg, Germany.
Kai SchlampDepartment of Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University of Heidelberg, Heidelberg, Germany.
Zeynep BendellaDepartment of Neuroradiology, Bonn University Hospital, Bonn, Germany.
Thomas PinetzInstitute for Applied Mathematics, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0002-6100-2136
Carsten SchmeelDepartment of Neuroradiology, Bonn University Hospital, Bonn, Germany.
Wolfgang WickNeurology Clinic, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-6171-634X
Peter A RinglebNeurology Clinic, Heidelberg University Hospital, Heidelberg, Germany.
Ralf FlocaDivision of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0003-3218-3377
Markus MöhlenbruchDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Alexander RadbruchDepartment of Neuroradiology, Bonn University Hospital, Bonn, Germany.
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Klaus Maier-HeinDivision of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Philipp VollmuthDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany. philipp.vollmuth@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-6224-0064

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Swift diagnosis and treatment play a decisive role in the clinical outcome of patients with acute ischemic stroke (AIS), and computer-aided diagnosis (CAD) systems can accelerate the underlying diagnostic processes. Here, we developed an artificial neural network (ANN) which allows automated detection of abnormal vessel findings without any a-priori restrictions and in <2 minutes. Pseudo-prospective external validation was performed in consecutive patients with suspected AIS from 4 different hospitals during a 6-month timeframe and demonstrated high sensitivity (≥87%) and negative predictive value (≥93%). Benchmarking against two CE- and FDA-approved software solutions showed significantly higher performance for our ANN with improvements of 25-45% for sensitivity and 4-11% for NPV (p ≤ 0.003 each). We provide an imaging platform ( https://stroke.neuroAI-HD.org ) for online processing of medical imaging data with the developed ANN, including provisions for data crowdsourcing, which will allow continuous refinements and serve as a blueprint to build robust and generalizable AI algorithms.

Indexed as

Deep LearningIschemic StrokeStrokeAngiographyComputed Tomography AngiographyHumansProspective StudiesRetrospective Studies

Identifiers

PMID37582829
PMCPMC10427649

What OpenQuestion holds

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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.