Evidence map›Paper›PMID 40852520›Full record

ArticleFrontiers in neurology2025

Machine learning models integrating intracranial artery calcification to predict outcomes of mechanical thrombectomy.

Guangzong Li, Yuesen Zhang, Di Li, Manhong Zhao, Lin Yin

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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Guangzong LiDepartment of Neurology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Yuesen ZhangDepartment of Neurology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Di LiDepartment of Neurointervention and Neurocritical Care, The Central Hospital Affiliated to Dalian University of Technology, Dalian, China.
Manhong ZhaoDepartment of Neurointervention and Neurocritical Care, The Central Hospital Affiliated to Dalian University of Technology, Dalian, China.
Lin YinDepartment of Neurology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate whether intracranial artery calcification (IAC) serves as a reliable imaging predictor of mechanical thrombectomy (MT) outcomes and to develop robust machine learning (ML) models incorporating preoperative emergency data to predict outcomes in patients with acute ischemic stroke (AIS). Methods: This retrospective study included patients with AIS and anterior circulation occlusion who underwent MT at the Second Affiliated Hospital of Dalian Medical University and the Central Hospital Affiliated to Dalian University of Technology between January 2017 and December 2024. Patients were categorized into favorable [modified Rankin Scale (mRS) 0-2] and poor outcome (mRS 3-6) groups based on their 90-day functional independence. Preoperative clinical and radiological data, including a quantitative assessment of IAC, were systematically collected. Eleven ML algorithms were trained and validated using Python, and external validation and performance evaluations were conducted. The Shapley additive explanation (SHAP) method was used to interpret the optimal model. Results: A total of 823 eligible patients were enrolled and stratified into training ( Conclusion: The total volume of IAC is a critical imaging biomarker for predicting MT outcomes in patients with anterior circulation AIS. The ML models developed using preoperative emergency data demonstrated strong predictive performance, providing a valuable tool to help clinicians identify suitable MT candidates with greater precision.

Indexed as

artificial intelligenceintracranial artery calcificationischemic strokemachine learningmechanical thrombectomy

Identifiers

PMID40852520
PMCPMC12368346

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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.