Evidence map›Paper›PMID 40617943›Full record

ArticleScientific reports2025

Predictive modeling and machine learning show poor performance of clinical, morphological, and hemodynamic parameters for small intracranial aneurysm rupture.

Vanessa M Swiatek, Samuel Voss, Florian Sprenger, Igor Fischer, Hafez Kader, Klaus-Peter Stein, Roland Schwab, Sylvia Saalfeld, Ali Rashidi, Daniel Behme and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
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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

13 authors.

Vanessa M SwiatekDepartment of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Samuel VossDepartment of Fluid Dynamics and Technical Flows, Otto-von-Guericke University, Magdeburg, Saxony Anhal, Germany.
Florian SprengerDepartment of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Igor FischerDepartment of Neurosurgery, University Hospital Düsseldorf and Heinrich-Heine-University, Dusseldorf, North Rhine-Westphalia, Germany.
Hafez KaderAutonomous Multisensor Systems Group, Institute for Intelligent Cooperating Systems, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Klaus-Peter SteinDepartment of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Roland SchwabDepartment of Neuroradiology, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Sylvia SaalfeldForschungscampus STIMULATE, Magdeburg, Saxony Anhalt, Germany.
Ali RashidiDepartment of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Daniel BehmeDepartment of Neuroradiology, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Philipp BergDepartment of Medical Engineering, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
I Erol SandalciogluDepartment of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Belal NeyaziDepartment of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany. belal.neyazi@med.ovgu.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Small intracranial aneurysms (SIAs) (< 5 mm) are increasingly detected due to advanced imaging, but predicting rupture risk remains challenging. Rupture, though rare, can cause devastating subarachnoid hemorrhage. This study analyzed 141 SIAs (101 unruptured, 40 ruptured) using semi-automatic morphological analysis and high-resolution, image-based blood flow simulations from 3D rotational angiography. Advanced morphological and hemodynamic parameters were extracted, with clustering applied to address multicollinearity. Univariate logistic regression identified cluster representatives, and forward selection highlighted the maximum height, Neck inflow rate, and Non-sphericity index as rupture predictors, though only the latter two were significant. Clinical variables like age, sex, and comorbidities were also assessed but failed to predict rupture risk. The full model showed overfitting, with a pseudo-R

Indexed as

Aneurysm, RupturedHemodynamicsIntracranial AneurysmMachine LearningAdultAgedCerebral AngiographyFemaleHumansMaleMiddle AgedComputational fluid dynamicsPredictive modelingRupture risk assessmentSemiautomatic neck curve reconstructionSmall intracranial aneurysms

Identifiers

PMID40617943
PMCPMC12228765

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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.