Evidence map›Paper›PMID 40783484›Full record

ArticleNature communications2025

DeepISLES: a clinically validated ischemic stroke segmentation model from the ISLES'22 challenge.

Ezequiel de la Rosa, Mauricio Reyes, Sook-Lei Liew, Alexandre Hutton, Roland Wiest, Johannes Kaesmacher, Uta Hanning, Arsany Hakim, Richard Zubal, Waldo Valenzuela and 49 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Association of Acute Ischemic Stroke Volume With Post-Stroke Epilepsy Development.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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

59 authors.

Ezequiel de la RosaDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland. ezequieldlrosa@gmail.com.ORCID http://orcid.org/0000-0002-9042-1962
Mauricio ReyesARTORG Center for Biomedical Research, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0002-2434-9990
Sook-Lei LiewChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.
Alexandre HuttonChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-7661-686X
Roland WiestSupport Center of Advanced Neuroimaging (SCAN), University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern, Switzerland.ORCID http://orcid.org/0000-0001-7030-2045
Johannes KaesmacherSupport Center of Advanced Neuroimaging (SCAN), University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern, Switzerland.
Uta HanningDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Arsany HakimSupport Center of Advanced Neuroimaging (SCAN), University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern, Switzerland.
Richard ZubalSupport Center of Advanced Neuroimaging (SCAN), University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern, Switzerland.
Waldo ValenzuelaSupport Center of Advanced Neuroimaging (SCAN), University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern, Switzerland.ORCID http://orcid.org/0000-0002-6629-3366
David Robbenicometrix, Leuven, Belgium.ORCID http://orcid.org/0000-0002-2266-8867
Diana M Simaicometrix, Leuven, Belgium.
Vincenzo Ananiaicometrix, Leuven, Belgium.ORCID http://orcid.org/0000-0002-3683-7764
Arne Brysicometrix, Leuven, Belgium.
James A MeakinDepartment of Medical Imaging, Radboud University Medical Center, Institute for Health Sciences, Nijmegen, The Netherlands.
Anne MickanDepartment of Medical Imaging, Radboud University Medical Center, Institute for Health Sciences, Nijmegen, The Netherlands.
Gabriel BroocksDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Christian HeitkampDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0002-8988-0918
Shengbo GaoDeepwise AI Lab, Beijing, China.
Kongming LiangBeijing University of Posts and Telecommunications, Beijing, China.
Ziji ZhangBeijing University of Posts and Telecommunications, Beijing, China.
Md Mahfuzur Rahman SiddiqueeSchool of Computing and Augmented Intelligence, Arizona State University, Tempe, AZ, USA.
Andriy MyronenkoNVIDIA, Santa Clara, CA, USA.
Pooya AshtariDepartment of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing, and Data Analytics, KU Leuven, Leuven, Belgium.
Sabine Van HuffelDepartment of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing, and Data Analytics, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-5939-0996
Hyunsu JeongGraduate School of Artificial Intelligence, Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.ORCID http://orcid.org/0000-0002-7446-0478
Chiho YoonDepartment of Electrical Engineering, Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.ORCID http://orcid.org/0000-0003-3971-3115
Chulhong KimGraduate School of Artificial Intelligence, Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.ORCID http://orcid.org/0000-0001-7249-1257
Jiayu HuoSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0002-9811-0368
Sebastien OurselinSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0002-5694-5340
Rachel SparksSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.
Albert ClèriguesInstitute of Computer Vision and Robotics, University of Girona, Girona, Spain.
Arnau OliverInstitute of Computer Vision and Robotics, University of Girona, Girona, Spain.ORCID http://orcid.org/0000-0002-0115-0647
Xavier LladóInstitute of Computer Vision and Robotics, University of Girona, Girona, Spain.
Liam ChalcroftWellcome Centre for Human Neuroimaging, University College London, London, UK.ORCID http://orcid.org/0000-0003-3363-6454
Ioannis PappasLaboratory of Neuro Imaging, Stevens Institute for Neuroimaging and Informatics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Jeroen BertelsDepartment of Electrical Engineering (ESAT), Processing Speech and Images (PSI), KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-7206-2671
Ewout HeylenDepartment of Electrical Engineering (ESAT), Processing Speech and Images (PSI), KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-3493-1471
Juliette MoreauCREATIS, Université Lyon1, CNRS UMR5220, INSERM U1206, INSA-Lyon, Villeurbanne, France.
Nima HatamiCREATIS, Université Lyon1, CNRS UMR5220, INSERM U1206, INSA-Lyon, Villeurbanne, France.
Carole FrindelCREATIS, Université Lyon1, CNRS UMR5220, INSERM U1206, INSA-Lyon, Villeurbanne, France.
Abdul QayyumNational Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, UK.
Moona MazherCentre for Medical Image Computing, Department of Computer Science, University College London, London, UK.
Domenec PuigDepartment of Computer Engineering and Mathematics, University Rovira I Virgili, Tarragona, Spain.
Shao-Chieh LinDepartment of Medical Imaging, China Medical University Hsinchu Hospital, Hsinchu, Taiwan, Republic of China.
Chun-Jung JuanDepartment of Medical Imaging, China Medical University Hsinchu Hospital, Hsinchu, Taiwan, Republic of China.
Tianxi HuDepartment of Medical Biophysics, University of Toronto, Toronto, Canada.
Lyndon BooneDepartment of Medical Biophysics, University of Toronto, Toronto, Canada.
Maged GoubranDepartment of Medical Biophysics, University of Toronto, Toronto, Canada.ORCID http://orcid.org/0000-0001-5880-0818
Yi-Jui LiuDepartment of Automatic Control Engineering, Feng Chia University, Taichung, Taiwan, Republic of China.
Susanne WegenerDepartment of Neurology, University Hospital of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0003-4369-7023
Florian KoflerDepartment of Informatics, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0003-0642-7884
Ivan EzhovDepartment of Informatics, Technical University of Munich, Munich, Germany.
Suprosanna ShitDepartment of Informatics, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0003-4435-7207
Moritz R Hernandez PetzscheDepartment of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-4288-3863
Michael MüllerARTORG Center for Biomedical Research, University of Bern, Bern, Switzerland.
Bjoern Menze *Department of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0003-4136-5690
Jan S Kirschke *Department of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-7557-0003
Benedikt Wiestler *TranslaTUM, Center for Translational Cancer Research, Technical University of Munich, Munich, Germany. b.wiestler@tum.de.ORCID http://orcid.org/0000-0002-2963-7772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diffusion-weighted MRI is critical for diagnosing and managing ischemic stroke, but variability in images and disease presentation limits the generalizability of AI algorithms. We present DeepISLES, a robust ensemble algorithm developed from top submissions to the 2022 Ischemic Stroke Lesion Segmentation challenge we organized. By combining the strengths of best-performing methods from leading research groups, DeepISLES achieves superior accuracy in detecting and segmenting ischemic lesions, generalizing well across diverse axes. Validation on a large external dataset (N = 1685) confirms its robustness, outperforming previous state-of-the-art models by 7.4% in Dice score and 12.6% in F1 score. It also excels at extracting clinical biomarkers and correlates strongly with clinical stroke scores, closely matching expert performance. Neuroradiologists prefer DeepISLES' segmentations over manual annotations in a Turing-like test. Our work demonstrates DeepISLES' clinical relevance and highlights the value of biomedical challenges in developing real-world, generalizable AI tools. DeepISLES is freely available at https://github.com/ezequieldlrosa/DeepIsles .

Indexed as

Brain IschemiaDiffusion Magnetic Resonance ImagingIschemic StrokeAlgorithmsHumans

Identifiers

PMID40783484
PMCPMC12335569

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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.