Evidence map›Paper›PMID 38183490›Full record

SynthesisNeurosurgical review2024

Prediction of cerebral aneurysm rupture risk by machine learning algorithms: a systematic review and meta-analysis of 18,670 participants.

Mohammad Amin Habibi, Amirata Fakhfouri, Mohammad Sina Mirjani, Alireza Razavi, Ali Mortezaei, Yasna Soleimani, Sohrab Lotfi, Shayan Arabi, Ladan Heidaresfahani, Sara Sadeghi and 5 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 6 pooled it
12.9field-weighted citation impact, top 1% 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

16 citing papers in PubMed, 6 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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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

15 authors at 7 institutions in 2 countries.

Mohammad Amin HabibiDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Science, Tehran, Iran. mohammad.habibi1392@yahoo.com.ORCID http://orcid.org/0000-0001-7600-6925
Amirata FakhfouriSchool of Medicine, Islamic Azad University, Tehran Medical Sciences, Tehran, Iran.
Mohammad Sina MirjaniStudent Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran.
Alireza RazaviStudent Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Ali MortezaeiStudent Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran.
Yasna SoleimaniSchool of Medicine, Islamic Azad University, Tehran Medical Sciences, Tehran, Iran.
Sohrab LotfiSchool of Medicine, Islamic Azad University, Tehran Medical Sciences, Tehran, Iran.
Shayan ArabiSchool of Medicine, Islamic Azad University, Tehran Medical Sciences, Tehran, Iran.
Ladan HeidaresfahaniSchool of Medicine, Islamic Azad University, Tehran Medical Sciences, Tehran, Iran.
Sara SadeghiSchool of Medicine, Islamic Azad University, Tehran Medical Sciences, Tehran, Iran.
Poriya MinaeeSchool of Medicine, Islamic Azad University, Tehran Medical Sciences, Tehran, Iran.
SeyedMohammad EaziSchool of Medicine, Islamic Azad University, Tehran Medical Sciences, Tehran, Iran.
Farhang RashidiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Milad ShafizadehDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Science, Tehran, Iran.
Shahram MajidiDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, USA.
Islamic Azad University Medical Branch of Tehran · IRUniversity of Tehran · IRGonabad University of Medical Sciences · IRIcahn School of Medicine at Mount Sinai · USMazandaran University of Medical Sciences · IRQom University of Medical Science and Health Services · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is possible to identify unruptured intracranial aneurysms (UIA) using machine learning (ML) algorithms, which can be a life-saving strategy, especially in high-risk populations. To better understand the importance and effectiveness of ML algorithms in practice, a systematic review and meta-analysis were conducted to predict cerebral aneurysm rupture risk. PubMed, Scopus, Web of Science, and Embase were searched without restrictions until March 20, 2023. Eligibility criteria included studies that used ML approaches in patients with cerebral aneurysms confirmed by DSA, CTA, or MRI. Out of 35 studies included, 33 were cohort, and 11 used digital subtraction angiography (DSA) as their reference imaging modality. Middle cerebral artery (MCA) and anterior cerebral artery (ACA) were the commonest locations of aneurysmal vascular involvement-51% and 40%, respectively. The aneurysm morphology was saccular in 48% of studies. Ten of 37 studies (27%) used deep learning techniques such as CNNs and ANNs. Meta-analysis was performed on 17 studies: sensitivity of 0.83 (95% confidence interval (CI), 0.77-0.88); specificity of 0.83 (95% CI, 0.75-0.88); positive DLR of 4.81 (95% CI, 3.29-7.02) and the negative DLR of 0.20 (95% CI, 0.14-0.29); a diagnostic score of 3.17 (95% CI, 2.55-3.78); odds ratio of 23.69 (95% CI, 12.75-44.01). ML algorithms can effectively predict the risk of rupture in cerebral aneurysms with good levels of accuracy, sensitivity, and specificity. However, further research is needed to enhance their diagnostic performance in predicting the rupture status of IA.

Indexed as

Intracranial AneurysmStrokeAlgorithmsAngiography, Digital SubtractionHumansMachine LearningAneurysmArtificial intelligenceMLRegression

Identifiers

PMID38183490
OpenAlexW4390638762

What OpenQuestion holds

Textmetadata
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.