Evidence map›Paper›PMID 39294238›Full record

ArticleScientific reports2024

Machine learning algorithm for predicting seizure control after temporal lobe resection using peri-ictal electroencephalography.

Shehryar R Sheikh, Zachary A McKee, Samer Ghosn, Ki-Soo Jeong, Michael Kattan, Richard C Burgess, Lara Jehi, Carl Y Saab

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Machine-learning methods for epilepsy diagnosis and therapeutic prevention: advances, setbacks, and opportunities.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  9. Article
  10. Review
  11. Stronger pre-surgical functional connectivity networks are associated with improved surgical outcome in temporal lobe epilepsy.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2025
    Article
  12. 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

8 authors.

Shehryar R SheikhDepartment of Neurosurgery, Cleveland Clinic, Cleveland, OH, USA. sheikhs@ccf.org.
Zachary A McKeeEpilepsy Center, Cleveland Clinic, Cleveland, OH, USA.
Samer GhosnDepartment of Biomedical Engineering, Cleveland Clinic, Cleveland, OH, USA.
Ki-Soo JeongDepartment of Biomedical Engineering, Cleveland Clinic, Cleveland, OH, USA.
Michael KattanQuantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Richard C BurgessEpilepsy Center, Cleveland Clinic, Cleveland, OH, USA.
Lara Jehi *Epilepsy Center, Cleveland Clinic, Cleveland, OH, USA.
Carl Y Saab *Department of Biomedical Engineering, Cleveland Clinic, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain resection is curative for a subset of patients with drug resistant epilepsy but up to half will fail to achieve sustained seizure freedom in the long term. There is a critical need for accurate prediction tools to identify patients likely to have recurrent postoperative seizures. Results from preclinical models and intracranial EEG in humans suggest that the window of time immediately before and after a seizure ("peri-ictal") represents a unique brain state with implications for clinical outcome prediction. Using a dataset of 294 patients who underwent temporal lobe resection for seizures, we show that machine learning classifiers can make accurate predictions of postoperative seizure outcome using 5 min of peri-ictal scalp EEG data that is part of universal presurgical evaluation (AUC 0.98, out-of-group testing accuracy > 90%). This is the first approach to seizure outcome prediction that employs a routine non-invasive preoperative study (scalp EEG) with accuracy range likely to translate into a clinical tool. Decision curve analysis (DCA) shows that compared to the prevalent clinical-variable based nomogram, use of the EEG-augmented approach could decrease the rate of unsuccessful brain resections by 20%.

Indexed as

ElectroencephalographyMachine LearningSeizuresTemporal LobeAdolescentAdultAlgorithmsDrug Resistant EpilepsyEpilepsy, Temporal LobeFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultDecision curve analysisDrug resistant epilepsyMachine learningSurgical outcome predictionTemporal lobe resection

Identifiers

PMID39294238
PMCPMC11410994

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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.