Evidence map›Paper›PMID 39335367›Full record

ArticleBrain sciences2024

Machine Learning Predicts Phenoconversion from Polysomnography in Isolated REM Sleep Behavior Disorder.

Matteo Cesari, Andrea Portscher, Ambra Stefani, Raphael Angerbauer, Abubaker Ibrahim, Elisabeth Brandauer, Simon Feuerstein, Kristin Egger, Birgit Högl, Antonio Rodriguez-Sanchez

Abstract read
In one paragraph

Article in Brain sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. The Future of Parasomnias.Journal of sleep research · 2025
    Review
  4. Article
  5. Sleep as the Foundation of Brain Health.Seminars in neurology · 2025
    Review
  6. Article
  7. 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

10 authors.

Matteo CesariDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0001-6554-1033
Andrea PortscherDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0001-6247-2669
Ambra StefaniDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0003-4259-8824
Raphael AngerbauerDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Abubaker IbrahimDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Elisabeth BrandauerDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Simon FeuersteinDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0009-0001-4813-8549
Kristin EggerDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Birgit HöglDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Antonio Rodriguez-SanchezDepartment of Computer Science, University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0002-3264-5060

Funding

Innsbruck Medical University MUI-START Project 2021-01-006
6 · The paper itself

Abstract

Isolated rapid eye movement (REM) sleep behavior disorder (iRBD) is a prodromal stage of alpha-synucleinopathies. This study aimed at developing a fully-automated machine learning framework for the prediction of phenoconversion in patients with iRBD by using data recorded during polysomnography (PSG). A total of 66 patients with iRBD were included, of whom 18 converted to an overt alpha-synucleinopathy within 2.7 ± 1.0 years. For each patient, a baseline PSG was available. Sleep stages were scored automatically, and time and frequency domain features were derived from electromyography (EMG) and electroencephalography (EEG) signals in REM and non-REM sleep. Random survival forest was employed to predict the time to phenoconversion, using a four-fold cross-validation scheme and by testing several combinations of features. The best test performances were obtained when considering EEG features in REM sleep only (Harrel's C-index: 0.723 ± 0.113; Uno's C-index: 0.741 ± 0.11; integrated Brier score: 0.174 ± 0.06). Features describing EEG slowing had high importance for the machine learning model. This is the first study employing machine learning applied to PSG to predict phenoconversion in patients with iRBD. If confirmed in larger cohorts, these findings might contribute to improving the design of clinical trials for neuroprotective treatments.

Indexed as

alpha-synucleinopathybiomarkeriRBDphenoconversionPSGREM sleep

Identifiers

PMID39335367
PMCPMC11430259

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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.