Evidence map›Paper›PMID 39850630›Full record

ArticleBrain communications2025

The challenge of long-term stroke outcome prediction and how statistical correlates do not imply predictive value.

Christoph Sperber, Laura Gallucci, Marcel Arnold, Roza M Umarova

Abstract read
In one paragraph

Article in Brain communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Christoph SperberDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland.ORCID https://orcid.org/0000-0001-6493-6543
Laura GallucciDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland.
Marcel ArnoldDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland.
Roza M UmarovaDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland.ORCID https://orcid.org/0000-0003-4451-679X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Personalized prediction of stroke outcome using lesion imaging markers is still too imprecise to make a breakthrough in clinical practice. We performed a combined prediction and brain mapping study on topographic and connectomic lesion imaging data to evaluate (i) the relationship between lesion-deficit associations and their predictive value and (ii) the influence of time since stroke. In patients with first-ever ischaemic stroke, we first applied high-dimensional machine learning models on lesion topographies or structural disconnection data to model stroke severity (National Institutes of Health Stroke Scale 24 h/3 months) and functional outcome (modified Rankin Scale 3 months) in cross-validation. Second, we mapped the topographic and connectomic lesion impact on both clinical measures. We retrospectively included 685 patients [age 67.4 ± 15.1, National Institutes of Health Stroke Scale 24 h median(IQR) = 3(1; 6), modified Rankin Scale 3 months = 1(0; 2), National Institutes of Health Stroke Scale 3 months = 0(0; 2)].

Indexed as

disconnectionimaging biomarkerlesion mappingmachine learningrecovery

Identifiers

PMID39850630
PMCPMC11756379

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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.