Evidence map›Paper›PMID 37602538›Full record

ArticleEpilepsia open2023

Deep-learning predicted PET can be subtracted from the true clinical fluorodeoxyglucose PET co-registered to MRI to identify the epileptogenic zone in focal epilepsy.

Anthime Flaus, Julien Jung, Karine Ostrowky-Coste, Sylvain Rheims, Marc Guénot, Sandrine Bouvard, Marc Janier, Siti N Yaakub, Carole Lartizien, Nicolas Costes and 1 more

Open access · goldAbstract read
In one paragraph

Article in Epilepsia open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Rheumatoid arthritis complicated with cervical actinomycosis and ureteral obstruction: A case report and literature review.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
  8. Article
  9. Article
  10. Characterisation of a novel [EJNMMI research · 2023
    Article
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

11 authors at 4 institutions in 2 countries.

Anthime FlausDepartment of Nuclear Medicine, Hospices Civils de Lyon, Lyon, France.ORCID 0000-0001-5877-2159
Julien JungLyon Neuroscience Research Center, INSERM U1028/CNRS UMR5292, Lyon, France.ORCID 0000-0002-9274-0086
Karine Ostrowky-CosteLyon Neuroscience Research Center, INSERM U1028/CNRS UMR5292, Lyon, France.
Sylvain RheimsLyon Neuroscience Research Center, INSERM U1028/CNRS UMR5292, Lyon, France.ORCID 0000-0002-4663-8515
Marc GuénotLyon Neuroscience Research Center, INSERM U1028/CNRS UMR5292, Lyon, France.
Sandrine BouvardLyon Neuroscience Research Center, INSERM U1028/CNRS UMR5292, Lyon, France.
Marc JanierDepartment of Nuclear Medicine, Hospices Civils de Lyon, Lyon, France.
Siti N YaakubBrain Research & Imaging Centre, University of Plymouth, Plymouth, UK.
Carole LartizienINSA-Lyon, CNRS, Inserm, CREATIS UMR 5220, U1294, University Claude Bernard Lyon 1, Lyon, France.ORCID 0000-0001-7594-4231
Nicolas CostesLyon Neuroscience Research Center, INSERM U1028/CNRS UMR5292, Lyon, France.
Alexander HammersKing's College London & Guy's and St Thomas' PET Centre, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Université Claude Bernard Lyon 1 · FRCentre National de la Recherche Scientifique · FRKing's College London · GBUniversity of Plymouth · GB

Funding

Medical Research Council MR/N013042/1Wellcome TrustWellcome Trust WT203148/Z/16/Z
6 · The paper itself

Abstract

objectiveNormal interictal [

methodsPatients with complete presurgical work-up and subsequent SEEG and cortectomy were included. RZ localisation, the reference region, was assigned to one of eighteen anatomical brain regions. SIPCOM was implemented using healthy controls to train a GAN. To compare, the clinical PET coregistered to MRI was visually assessed by two trained readers, and a standard SPM analysis was performed.

resultsTwenty patients aged 17-50 (32 ± 7.8) years were included, 14 (70%) with temporal lobe epilepsy (TLE). Eight (40%) were MRI-negative. After surgery, 14 patients (70%) had a good outcome (Engel I-II). RZ localisation rate was 60% with SIPCOM vs 35% using SPM (P = 0.015) and vs 85% using visual analysis (P = 0.54). Results were similar for Engel I-II patients, the RZ localisation rate was 64% with SIPCOM vs 36% with SPM. With SIPCOM localisation was correct in 67% in MRI-positive vs 50% in MRI-negative patients, and 64% in TLE vs 43% in extra-TLE. The average number of false-positive clusters was 2.2 ± 1.3 using SIPCOM vs 2.3 ± 3.1 using SPM. All RZs localized with SPM were correctly localized with SIPCOM. In one case, PET and MRI were visually reported as negative, but both SIPCOM and SPM localized the RZ. SIGNIFICANCE: SIPCOM performed better than the reference computer-assisted method (SPM) for RZ detection in a group of operated DRE patients. SIPCOM's impact on epilepsy management needs to be prospectively validated.

Indexed as

Deep LearningDrug Resistant EpilepsyEpilepsyEpilepsy, Temporal LobeFluorodeoxyglucose F18HumansMagnetic Resonance ImagingPositron-Emission TomographyFluorodeoxyglucose F18anomaly detectionartificial intelligencecomputer-aided diagnosisepilepsygenerative adversarial networknuclear medicine

Identifiers

PMID37602538
PMCPMC10690662
OpenAlexW4386020188

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.