Evidence map›Paper›PMID 38321131›Full record

ArticleNPJ digital medicine2024

Uncertainty-aware deep-learning model for prediction of supratentorial hematoma expansion from admission non-contrast head computed tomography scan.

Anh T Tran, Tal Zeevi, Stefan P Haider, Gaby Abou Karam, Elisa R Berson, Hishan Tharmaseelan, Adnan I Qureshi, Pina C Sanelli, David J Werring, Ajay Malhotra and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06602115 (Noncontrast CT-Based Deep Learning for Predicting Hematoma Expansion Risk in Patients with Spontaneous Intracerebral Hemorrhage), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 2% 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.

NCT06602115 not yet recruitingnot on this map

Noncontrast CT-Based Deep Learning for Predicting Hematoma Expansion Risk in Patients with Spontaneous Intracerebral Hemorrhage

TypeobservationalSponsorQiang YuRan2024 to 2024Enrolled2,000ConditionsSpontaneous Intracerebral Hemorrhage, Hematoma ExpansionArmsObservational study, no interventions involved
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  11. Multimodal AI-driven Biomarker for Early Detection of Cancer Cachexia.medRxiv : the preprint server for health sciences · 2025
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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 4 institutions in 3 countries.

Anh T TranDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0001-9994-8077
Tal ZeeviDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0001-8917-7061
Stefan P HaiderDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Gaby Abou KaramDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0009-0003-3540-7185
Elisa R BersonDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Hishan TharmaseelanDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Adnan I QureshiStroke Institute and Department of Neurology, University of Missouri, Columbia, MO, USA.
Pina C SanelliDepartment of Radiology, Northwell Health, Manhasset, NY, USA.
David J WerringStroke Research Centre, University College London, Queen Square Institute of Neurology, London, UK.
Ajay MalhotraDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Nils H PetersenDepartment of Neurology, Yale School of Medicine, New Haven, CT, USA.
Adam de HavenonDepartment of Neurology, Yale School of Medicine, New Haven, CT, USA.
Guido J FalconeDepartment of Neurology, Yale School of Medicine, New Haven, CT, USA.
Kevin N Sheth *Department of Neurology, Yale School of Medicine, New Haven, CT, USA. kevin.sheth@yale.edu.ORCID http://orcid.org/0000-0003-2003-5473
Seyedmehdi Payabvash *Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA. sam.payabvash@yale.edu.ORCID http://orcid.org/0000-0003-4628-0370
Yale University · USNational Hospital for Neurology and Neurosurgery · GBNorthwell Health · USUniversity of Missouri · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Anticoagulation in ICH Survivors for Prevention and Recovery (ASPIRE)U01NS106513 · NINDS · YALE UNIVERSITY · PI Hooman Kamel, Kevin Navin Sheth · 2019 to 2026
$20.6M
Short-Term Reserch Training: Students in Health SchoolsT35HL007649 · NHLBI · YALE UNIVERSITY · PI Sarwat I Chaudhry, Erica L Herzog · 1987 to 2026
$5.7M
The Recovery in Stroke Using PAP (RISE UP) StudyR01NR018335 · NINR · YALE UNIVERSITY · PI REDEKER, NANCY S, SHETH, KEVIN NAVIN · 2019 to 2023
$3.4M
Southern New England Partnership In Stroke Research, Innovation and Treatment (SPIRIT)U24NS107215 · NINDS · YALE UNIVERSITY · PI MARK Jay ALBERTS, Karen L Furie · 2018 to 2026
$3.0M
Yale Clinical Site: Investigations For Improved Neurological Treatments at Yale (INFINITY)U24NS107136 · NINDS · YALE UNIVERSITY · PI SHETH, KEVIN NAVIN, SPUDICH, SERENA S · 2018 to 2022
$1.7M
Precision blood pressure management after endovascular stroke therapy based on real-time autoregulation measurementsK23NS110980 · NINDS · YALE UNIVERSITY · PI PETERSEN, NILS H. · 2020 to 2024
$951k
Radiomics Signatures and Patient Outcomes in Intracerebral HemorrhageK23NS118056 · NINDS · YALE UNIVERSITY · PI Seyedmehdi Payabvash · 2021 to 2026
$780k
Intensive Blood Pressure Reduction in Deep Intracerebral HemorrhageR03NS112859 · NINDS · YALE UNIVERSITY · PI FALCONE, GUIDO JOSE, SHETH, KEVIN NAVIN · 2019 to 2020
$84k
Doris Duke Charitable Foundation 2020097NCATS NIH HHS UL1 TR001863NHLBI NIH HHS T35 HL007649NIA NIH HHS K76 AG059992NIA NIH HHS P30 AG021342NINDS NIH HHS K23 NS110980NINDS NIH HHS K23 NS118056NINDS NIH HHS R03 NS112859NINDS NIH HHS U01 NS106513NINDS NIH HHS U24 NS107136NINDS NIH HHS U24 NS107215NINR NIH HHS R01 NR018335
6 · The paper itself

Abstract

Hematoma expansion (HE) is a modifiable risk factor and a potential treatment target in patients with intracerebral hemorrhage (ICH). We aimed to train and validate deep-learning models for high-confidence prediction of supratentorial ICH expansion, based on admission non-contrast head Computed Tomography (CT). Applying Monte Carlo dropout and entropy of deep-learning model predictions, we estimated the model uncertainty and identified patients at high risk of HE with high confidence. Using the receiver operating characteristics area under the curve (AUC), we compared the deep-learning model prediction performance with multivariable models based on visual markers of HE determined by expert reviewers. We randomly split a multicentric dataset of patients (4-to-1) into training/cross-validation (n = 634) versus test (n = 159) cohorts. We trained and tested separate models for prediction of ≥6 mL and ≥3 mL ICH expansion. The deep-learning models achieved an AUC = 0.81 for high-confidence prediction of HE

Identifiers

PMID38321131
PMCPMC10847454
OpenAlexW4391573802

What OpenQuestion holds

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Registered trials

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.