Evidence map›Paper›PMID 38110931›Full record

ArticleBMC medicine2023

Predictive model for epileptogenic tubers from all tubers in patients with tuberous sclerosis complex based on

Zhongke Wang, Yang Li, Zeng He, Shujing Li, Kaixuan Huang, Xianjun Shi, Xiaoqin Sun, Ruotong Ruan, Chun Cui, Ruodan Wang and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. An interpretable machine learning model integrating [European journal of nuclear medicine and molecular imaging · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. NEAT1 Promotes Epileptogenesis in Tuberous Sclerosis Complex.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  7. Review
  8. Article
  9. Observational
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  11. Review
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

17 authors at 3 institutions in 1 country.

Zhongke Wang *Department of Neurosurgery, Armed Police Hospital of Chongqing, Chongqing, China.
Yang Li *Department of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China.
Zeng He *Department of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China.
Shujing Li *Department of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China.
Kaixuan HuangDepartment of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China.
Xianjun ShiDepartment of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China.
Xiaoqin SunDepartment of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China.
Ruotong RuanDepartment of Virology, State Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Chun CuiDepartment of Radiology, Xinqiao Hospital, Army Medical University, Chongqing, China.
Ruodan WangDepartment of Neurology, Xinqiao Hospital, Army Medical University, Chongqing, China.
Li WangDepartment of Neurology, Xinqiao Hospital, Army Medical University, Chongqing, China.
Shengqing LvDepartment of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China.
Chunqing ZhangDepartment of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China.
Zhonghong LiuDepartment of Neurosurgery, Armed Police Hospital of Chongqing, Chongqing, China.
Hui YangDepartment of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China. huiyangtg2018@aliyun.com.
Xiaolin YangDepartment of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China. yangxl2013@163.com.
Shiyong LiuDepartment of Neurosurgery, Comprehensive Epilepsy Center, Xinqiao Hospital, Army Medical University, Chongqing, China. liushi24252016@163.com.
Xinqiao Hospital · CNArmy Medical University · CNWuhan Institute of Virology · CN

Funding

National Natural Science Foundation of China 82171448National Natural Science Foundation of China 82201613Natural Science Foundation of Chongqing CSTB2022NSCQ-MSX1550
6 · The paper itself

Abstract

backgroundMore than half of patients with tuberous sclerosis complex (TSC) suffer from drug-resistant epilepsy (DRE), and resection surgery is the most effective way to control intractable epilepsy. Precise preoperative localization of epileptogenic tubers among all cortical tubers determines the surgical outcomes and patient prognosis. Models for preoperatively predicting epileptogenic tubers using

methodsForty-three consecutive TSC patients with DRE were enrolled, and 235 cortical tubers were selected as the training set. Quantitative indices of cortical tubers on

resultsPET quantitative indices including SUVmean, SUVmax, volume, total lesion glycolysis (TLG), third quartile, upper adjacent and standard added metabolism activity (SAM) were associated with the epileptogenic tubers. The SUVmean, SUVmax, volume and TLG values were different between epileptogenic and non-epileptogenic tubers and were associated with the clinical characteristics of epileptogenic tubers. The LR model achieved the better performance in predicting epileptogenic tubers (AUC = 0.7706; 95% CI 0.70-0.83) than the LDA (AUC = 0.7506; 95% CI 0.68-0.82) and ANN models (AUC = 0.7425; 95% CI 0.67-0.82) and also demonstrated good calibration (Hosmer‒Lemeshow goodness-of-fit p value = 0.7). In addition, DCA and CIC confirmed the clinical utility of the nomogram constructed to predict epileptogenic tubers based on quantitative indices. Intriguingly, the LR model exhibited good performance in predicting epileptogenic tubers in the testing set (AUC = 0.8502; 95% CI 0.71-0.99) and the long-term outcomes of cortical tubers (1-year outcomes: AUC = 0.7805, 95% CI 0.71-0.85; 3-year outcomes: AUC = 0.8066, 95% CI 0.74-0.87; 5-year outcomes: AUC = 0.8172, 95% CI 0.75-0.87).

conclusionsThe

Indexed as

EpilepsyTuberous SclerosisFluorodeoxyglucose F18GlycolysisHumansReproducibility of ResultsRetrospective StudiesFluorodeoxyglucose F1818F-FDG PETEpilepsyEpileptogenic tubersMachine learningTuberous sclerosis complex

Identifiers

PMID38110931
PMCPMC10729377
OpenAlexW4389904018

What OpenQuestion holds

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LicenceCC BY
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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.