Evidence map›Paper›PMID 40655092›Full record

ArticleiScience2025

Explainable CT-based deep learning model for predicting hematoma expansion including intraventricular hemorrhage growth.

Xianjing Zhao, Zhengxiang Zhang, Juntao Shui, Hui Xu, Yulong Yang, Lequn Zhu, Lei Chen, Shixin Chang, Chunzhong Du, Zhenwei Yao and 2 more

Abstract read
In one paragraph

Article in iScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

12 authors.

Xianjing ZhaoDepartment of Radiology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Zhengxiang ZhangDepartment of Neurology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, China.
Juntao ShuiDepartment of Neurology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, China.
Hui XuDepartment of Radiology, The First People's Hospital of Hangzhou Lin'an District, Hangzhou, Zhejiang, China.
Yulong YangDepartment of Radiology, The First People's Hospital of Hangzhou Lin'an District, Hangzhou, Zhejiang, China.
Lequn ZhuDepartment of Radiology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Lei ChenDepartment of Rehabilitation Medicine, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Shixin ChangDepartment of Radiology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Chunzhong DuDepartment of Radiology, The First People's Hospital of Hangzhou Lin'an District, Hangzhou, Zhejiang, China.
Zhenwei YaoDepartment of Radiology, Huashan Hospital, Fudan University, Shanghai, China.
Xiangming FangDepartment of Medical Imaging, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Lei ShiDepartment of Radiology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hematoma expansion (HE), including intraventricular hemorrhage (IVH) growth, significantly affects outcomes in patients with intracerebral hemorrhage (ICH). This study aimed to develop, validate, and interpret a deep learning model, HENet, for predicting three definitions of HE. Using CT scans and clinical data from 718 ICH patients across three hospitals, the multicenter retrospective study focused on revised hematoma expansion (RHE) definitions 1 and 2, and conventional HE (CHE). HENet's performance was compared with 2D models and physician predictions using two external validation sets. Results showed that HENet achieved high AUC values for RHE1, RHE2, and CHE predictions, surpassing physicians' predictions and 2D models in net reclassification index and integrated discrimination index for RHE1 and RHE2 outcomes. The Grad-CAM technique provided visual insights into the model's decision-making process. These findings suggest that integrating HENet into clinical practice could improve prediction accuracy and patient outcomes in ICH cases.

Indexed as

Artificial intelligenceMedical imaging

Identifiers

PMID40655092
PMCPMC12246629

What OpenQuestion holds

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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.