Evidence map›Paper›PMID 37848906›Full record

ArticleBiomedical engineering online2023

Deep learning based on susceptibility-weighted MR sequence for detecting cerebral microbleeds and classifying cerebral small vessel disease.

Ruizhen Wu, Huaqing Liu, Hao Li, Lifen Chen, Lei Wei, Xuehong Huang, Xu Liu, Xuejiao Men, Xidan Li, Lanqing Han and 2 more

Open access · goldAbstract read
In one paragraph

Article in Biomedical engineering online, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Cerebral small vessel disease lesion segmentation methods: A systematic review.Cerebral circulation - cognition and behavior · 2025
    Review
  6. Article
  7. 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

12 authors at 4 institutions in 1 country.

Ruizhen WuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Sun Yat-Sen University, No. 600 Tianhe Road, Guangzhou, 510630, People's Republic of China.
Huaqing LiuCenter for Artificial Intelligence in Medicine, Research Institute of Tsinghua, Pearl River Delta, Tsinghua University, No. 98 Xiangxue 8Th Road, Guangzhou, 510700, People's Republic of China.
Hao LiDepartment of Neurology, Maoming People's Hospital, No.101 Weimin Road, Maoming, 525000, People's Republic of China.
Lifen ChenDepartment of Neurology, the First Affiliated Hospital of SHANTOU University Medical College, Shantou University, No. 57 of Changping Road, Shantou, 515041, People's Republic of China.
Lei WeiDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Sun Yat-Sen University, No. 600 Tianhe Road, Guangzhou, 510630, People's Republic of China.
Xuehong HuangDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Sun Yat-Sen University, No. 600 Tianhe Road, Guangzhou, 510630, People's Republic of China.
Xu LiuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Sun Yat-Sen University, No. 600 Tianhe Road, Guangzhou, 510630, People's Republic of China.
Xuejiao MenDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Sun Yat-Sen University, No. 600 Tianhe Road, Guangzhou, 510630, People's Republic of China.
Xidan LiCenter for Artificial Intelligence in Medicine, Research Institute of Tsinghua, Pearl River Delta, Tsinghua University, No. 98 Xiangxue 8Th Road, Guangzhou, 510700, People's Republic of China.
Lanqing HanCenter for Artificial Intelligence in Medicine, Research Institute of Tsinghua, Pearl River Delta, Tsinghua University, No. 98 Xiangxue 8Th Road, Guangzhou, 510700, People's Republic of China.
Zhengqi LuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Sun Yat-Sen University, No. 600 Tianhe Road, Guangzhou, 510630, People's Republic of China.
Bing QinDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Sun Yat-Sen University, No. 600 Tianhe Road, Guangzhou, 510630, People's Republic of China. qinb5@mail.sysu.edu.cn.
Sun Yat-sen University · CNThird Affiliated Hospital of Sun Yat-sen University · CNTsinghua University · CNShantou University · CN

Funding

National Natural Science Foundation of China 81971110
6 · The paper itself

Abstract

backgroundCerebral microbleeds (CMBs) serve as neuroimaging biomarkers to assess risk of intracerebral hemorrhage and diagnose cerebral small vessel disease (CSVD). Therefore, detecting CMBs can evaluate the risk of intracerebral hemorrhage and use its presence to support CSVD classification, both are conducive to optimizing CSVD management. This study aimed to develop and test a deep learning (DL) model based on susceptibility-weighted MR sequence (SWS) to detect CMBs and classify CSVD to assist neurologists in optimizing CSVD management. Patients with arteriolosclerosis (aSVD), cerebral amyloid angiopathy (CAA), and cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) treated at three centers were enrolled between January 2017 and May 2022 in this retrospective study. The SWSs of patients from two centers were used as the development set, and the SWSs of patients from the remaining center were used as the external test set. The DL model contains a Mask R-CNN for detecting CMBs and a multi-instance learning (MIL) network for classifying CSVD. The metrics for model performance included intersection over union (IoU), Dice score, recall, confusion matrices, receiver operating characteristic curve (ROC) analysis, accuracy, precision, and F1-score.

resultsA total of 364 SWS were recruited, including 336 in the development set and 28 in the external test set. IoU for the model was 0.523 ± 0.319, Dice score 0.627 ± 0.296, and recall 0.706 ± 0.365 for CMBs detection in the external test set. For CSVD classification, the model achieved a weighted-average AUC of 0.908 (95% CI 0.895-0.921), accuracy of 0.819 (95% CI 0.768-0.870), weighted-average precision of 0.864 (95% CI 0.831-0.897), and weighted-average F1-score of 0.829 (95% CI 0.782-0.876) in the external set, outperforming the performance of the neurologist group.

conclusionThe DL model based on SWS can detect CMBs and classify CSVD, thereby assisting neurologists in optimizing CSVD management.

Indexed as

Cerebral Small Vessel DiseasesDeep LearningCerebral HemorrhageHumansMagnetic Resonance ImagingRetrospective StudiesCerebral microbleedsCerebral small vessel diseaseDeep learningSusceptibility-weighted MR Sequence

Identifiers

PMID37848906
PMCPMC10580591
OpenAlexW4387695423

What OpenQuestion holds

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LicenceCC BY
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.