Evidence map›Paper›PMID 40177408›Full record

ArticleFrontiers in neurology2025

Automatically quantified follow-up imaging biomarkers predict clinical outcomes after acute ischemic stroke.

Sonya Abraham, Davide Carone, Orell Mielke, Mark Heise, Agnieszka Swierczak, Greg Bass, Stephen Gerry, Zoe V J Woodhead, Rafael Namias, James Garrard and 8 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Transcranial direct current stimulation is safe and feasible in hyperacute ischemic stroke (DICAST-SF trial).Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Trial
  2. Article
  3. 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

18 authors.

Sonya Abraham *CSL Behring, King of Prussia, PA, United States.
Davide Carone *Brainomix Limited, Oxford, United Kingdom.
Orell MielkeCSL Behring, Marburg, Germany.
Mark HeiseCSL Behring, King of Prussia, PA, United States.
Agnieszka SwierczakCSL Innovation, Melbourne, VIC, Australia.
Greg BassCSL Innovation, Melbourne, VIC, Australia.
Stephen GerryNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Centre for Statistics in Medicine, University of Oxford, Oxford, United Kingdom.
Zoe V J WoodheadBrainomix Limited, Oxford, United Kingdom.
Rafael NamiasBrainomix Limited, Oxford, United Kingdom.
James GarrardBrainomix Limited, Oxford, United Kingdom.
David KallmesMayo Clinic, Rochester, MN, United States.
Waleed BrinjikjiMayo Clinic, Rochester, MN, United States.
Daniel VaclavikNemocnice AGEL, Ostrava, Czechia.
Petr MikulenkaDepartment of Neurology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czechia.
Patrick NicholsonBeaumont Hospital, Dublin, Ireland.
John ThorntonBeaumont Hospital, Dublin, Ireland.
Gary A FordOxford University Hospitals NHS FT, Oxford, United Kingdom.
George HarstonBrainomix Limited, Oxford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Follow-up infarct volume (FIV) is a proposed surrogate endpoint for proof-of-concept clinical studies in acute ischemic stroke (AIS). This study aimed to provide clinical validation of an automated FIV algorithm, demonstrating the association of imaging biomarkers with clinical outcomes to support the use of these imaging endpoints in clinical trials. Methods: Data were gathered for adult AIS patients undergoing mechanical thrombectomy with follow-up imaging 12-96 h from initial assessment. Non-contrast computed tomography was used to quantify infarct volume. Image processing used the AI-powered software Results: Of 986 patients, 843 (85.5%; median age 72 years, 56.7% male) had complete data and were included in the study analysis. Median baseline NIHSS score was 17 (IQR: 12-21). Median imaging follow-up time was 24 h (IQR 20-28). Median 24 h NIHSS score was 11 (5-17); 34% of patients had mRS 0-2 at 90 days. Median FIV was 30.2 mL (12.5-120.8 mL). FIV was significantly associated with 90-day mRS (concordance = 0.819, Conclusion: Of the algorithm outputs assessed, FIV was most strongly associated with clinical outcomes. Ischemic injury, HT, edema and IG were also independently significantly associated with clinical outcome. This study validates the prognostic significance of automated FIV and its composites as mechanistic endpoints to improve early-stage trials of therapeutics in AIS.

Indexed as

artificial intelligencefollow-up studiesimagingischemic strokeneuroimagingthrombectomy

Identifiers

PMID40177408
PMCPMC11963697

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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.