Evidence map›Paper›PMID 39171205›Full record

ArticleBrain communications2024

Data-driven biomarkers better associate with stroke motor outcomes than theory-based biomarkers.

Emily R Olafson, Christoph Sperber, Keith W Jamison, Mark D Bowren, Aaron D Boes, Justin W Andrushko, Michael R Borich, Lara A Boyd, Jessica M Cassidy, Adriana B Conforto and 22 more

Abstract read
In one paragraph

Article in Brain communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Collaborative AI for precision neurorehabilitation: a roadmap.Journal of neuroengineering and rehabilitation · 2025
    Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Emily R OlafsonDepartment of Radiology, Weill Cornell Medicine, New York City, NY 10021, USA.ORCID https://orcid.org/0000-0001-8008-9516
Christoph SperberDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, Bern 3012, Switzerland.ORCID https://orcid.org/0000-0001-6493-6543
Keith W JamisonDepartment of Radiology, Weill Cornell Medicine, New York City, NY 10021, USA.
Mark D BowrenDepartment of Neurology, Carver College of Medicine, Iowa City, IA 52242, USA.ORCID https://orcid.org/0000-0003-3304-6921
Aaron D BoesDepartment of Neurology, Carver College of Medicine, Iowa City, IA 52242, USA.ORCID https://orcid.org/0000-0002-7865-9257
Justin W AndrushkoDepartment of Physical Therapy, Faculty of Medicine, The University of British Columbia, Vancouver, BC V6T 1Z4, Canada.
Michael R BorichDivision of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.
Lara A BoydDepartment of Physical Therapy, Faculty of Medicine, The University of British Columbia, Vancouver, BC V6T 1Z4, Canada.ORCID https://orcid.org/0000-0002-2828-4549
Jessica M CassidyDepartment of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.ORCID https://orcid.org/0000-0003-3469-0399
Adriana B ConfortoHospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paolo 05652-900, Brazil.
Steven C CramerDepartment Neurology, UCLA, California Rehabilitation Institute, Los Angeles, CA 90033, USA.
Adrienne N DulaDepartment of Neurology, Dell Medical School at The University of Texas Austin, Austin, TX 78712, USA.
Fatemeh GeranmayehClinical Language and Cognition Group, Department of Brain Sciences, Imperial College London, London W12 0HS, United Kingdom.
Brenton HordacreInnovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide 5000, Australia.ORCID https://orcid.org/0000-0002-7129-6684
Neda JahanshadImaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Charleston, SC 29425, USA.
Steven A KautzDepartment of Health Sciences & Research, Medical University of South Carolina, Charleston, SC 29425, USA.
Bethany P TavennerChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA 90033, USA.ORCID https://orcid.org/0000-0001-7626-9020
Bradley J MacIntoshSandra Black Centre for Brain Resilience and Recovery, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada.
Fabrizio PirasLaboratory of Neuropsychiatry, Santa Lucia Foundation IRCCS, Rome 00179, Italy.
Andrew D RobertsonSandra Black Centre for Brain Resilience and Recovery, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada.
Na Jin SeoDepartment of Health Sciences & Research, Medical University of South Carolina, Charleston, SC 29425, USA.ORCID https://orcid.org/0000-0001-6446-5905
Surjo R SoekadarDepartment of Psychiatry and Neurosciences, Charité Campus Mitte (CCM), Charité-Universitätsmedizin Berlin, Berlin 10117, Germany.
Sophia I ThomopoulosImaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Charleston, SC 29425, USA.
Daniela VecchioLaboratory of Neuropsychiatry, Santa Lucia Foundation IRCCS, Rome 00179, Italy.
Timothy B WengDepartment of Neurology, Dell Medical School at The University of Texas Austin, Austin, TX 78712, USA.
Lars T WestlyeDepartment of Psychology, University of Oslo, Oslo 0372, Norway.ORCID https://orcid.org/0000-0001-8644-956X
Carolee J WinsteinDivision of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90033, USA.
George F WittenbergDepartment of Neurology, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Kristin A WongDepartment of Physical Medicine & Rehabilitation, Dell Medical School, University of Texas at Austin, Austin, TX 78712, USA.
Paul M ThompsonImaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Charleston, SC 29425, USA.
Sook-Lei LiewStevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA 90033, USA.
Amy F KuceyeskiDepartment of Radiology, Weill Cornell Medicine, New York City, NY 10021, USA.ORCID https://orcid.org/0000-0002-5050-8342

Funding

NSTN National Clinical Coordinating CenterU01NS086872 · NINDS · UNIVERSITY OF CINCINNATI · PI Joseph Paul Broderick, Pooja Khatri · 2013 to 2026
$32.3M
Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
Validation of Early Prognostic Data for Recovery Outcomes after Stroke for Future, Higher Yield Trials (VERIFY)U01NS120910 · NINDS · YALE UNIVERSITY · PI Steven C. Cramer, Pooja Khatri · 2021 to 2026
$13.5M
Training U54EB020403 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI THOMPSON, PAUL M · 2014 to 2018
$10.1M
University of Iowam - Whole Body 7T MRI ScannerS10RR028821 · NCRR · UNIVERSITY OF IOWA · PI MAGNOTTA, VINCENT A · 2010 to 2010
$8.0M
ENIGMA-COINSTAC-APOE2 Functional and structural connectome protective mechanisms for Alzheimer’s disease and mood disorders: Request for supplemental funds for NIH R01:1R01MH121246R01MH121246 · NIMH · OHIO STATE UNIVERSITY · PI CALHOUN, VINCE D, TURNER, JESS · 2019 to 2023
$5.0M
Motor Recovery through Plasticity-Inducing Cortical StimulationUH3NS121565 · NINDS · UNIVERSITY OF WASHINGTON · PI Steven C. Cramer, Jeffrey G Ojemann · 2022 to 2026
$4.5M
Brain-computer interface-functional electrical stimulation for stroke recoveryR01HD095457 · NICHD · UNIVERSITY OF CALIFORNIA-IRVINE · PI CRAMER, STEVEN C., DO, AN · 2019 to 2023
$3.7M
EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKER01HD062744 · NICHD · UNIVERSITY OF CALIFORNIA-IRVINE · PI David Jay Reinkensmeyer · 2010 to 2026
$3.5M
Supplement to Effects of global brain health on sensorimotor recovery after strokeR01NS115845 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LIEW, SOOK-LEI · 2020 to 2024
$3.2M
Role of distinctive cortical motor maps for hand muscles for recovery post strokeR01HD094731 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SEO, NA JIN · 2020 to 2024
$3.1M
ENIGMA-SD: Understanding Sex Differences in Global Mental Health through ENIGMAR01MH116147 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI THOMPSON, PAUL M · 2018 to 2021
$2.5M
NCRR NIH HHS S10 RR028821NIBIB NIH HHS U54 EB020403NICHD NIH HHS R00 HD091375NICHD NIH HHS R01 HD062744NICHD NIH HHS R01 HD065438NICHD NIH HHS R01 HD094731NICHD NIH HHS R01 HD095457NICHD NIH HHS R41 HD104296NIGMS NIH HHS P20 GM109040NIGMS NIH HHS T32 GM108540NIMH NIH HHS R01 MH116147NIMH NIH HHS R01 MH121246NIMH NIH HHS RF1 MH123163NINDS NIH HHS R01 NS076348NINDS NIH HHS R01 NS115845NINDS NIH HHS U01 NS086872NINDS NIH HHS U01 NS120910NINDS NIH HHS UH3 NS121565Wellcome Trust
6 · The paper itself

Abstract

Chronic motor impairments are a leading cause of disability after stroke. Previous studies have associated motor outcomes with the degree of damage to predefined structures in the motor system, such as the corticospinal tract. However, such theory-based approaches may not take full advantage of the information contained in clinical imaging data. The present study uses data-driven approaches to model chronic motor outcomes after stroke and compares the accuracy of these associations to previously-identified theory-based biomarkers. Using a cross-validation framework, regression models were trained using lesion masks and motor outcomes data from 789 stroke patients from the Enhancing NeuroImaging Genetics through Meta Analysis (ENIGMA) Stroke Recovery Working Group. Using the explained variance metric to measure the strength of the association between chronic motor outcomes and imaging biomarkers, we compared theory-based biomarkers, like lesion load to known motor tracts, to three data-driven biomarkers: lesion load of lesion-behaviour maps, lesion load of structural networks associated with lesion-behaviour maps, and measures of regional structural disconnection. In general, data-driven biomarkers had stronger associations with chronic motor outcomes accuracy than theory-based biomarkers. Data-driven models of regional structural disconnection performed the best of all models tested (

Indexed as

imaging biomarkerslesion-deficit associationsmachine learningstroke outcomes

Identifiers

PMID39171205
PMCPMC11336660

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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.