Evidence map›Paper›PMID 41006507›Full record

ArticleScientific reports2025

Prediction of personalized antiseizure medications response based on clinical signatures in epilepsy.

Kyung-Il Park, Youmin Shin, Sungeun Hwang, Yong-Jeong Kim, Seung-Bo Lee, Hyoshin Son, Jangsup Moon, Soon-Tae Lee, Keun-Hwa Jung, Kon Chu and 3 more

Erratum issuedAbstract 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. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Kyung-Il Park *Department of Neurology, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Republic of Korea.
Youmin Shin *Department of Transdisciplinary Medicine & Advanced Technology, Seoul National University Hospital, Seoul, Republic of Korea.
Sungeun HwangDepartment of Neurology, Ewha Womans University Mokdong Hospital, Seoul, Republic of Korea.
Yong-Jeong KimDepartment of Transdisciplinary Medicine & Advanced Technology, Seoul National University Hospital, Seoul, Republic of Korea.
Seung-Bo LeeDepartment of Medical Informatics, Keimyung University School of Medicine, Daegu, Republic of Korea.
Hyoshin SonDepartment of Neurology, Catholic University of Korea Eunpyeong St Mary's Hospital, Seoul, Republic of Korea.
Jangsup MoonDepartment of Neurology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Soon-Tae LeeDepartment of Neurology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Keun-Hwa JungDepartment of Neurology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Kon ChuDepartment of Neurology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Ki-Young JungDepartment of Neurology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Young-Gon Kim *Department of Transdisciplinary Medicine & Advanced Technology, Seoul National University Hospital, Seoul, Republic of Korea. younggon2.kim@gmail.com.
Sang Kun Lee *Department of Neurology, Seoul National University College of Medicine, Seoul, Republic of Korea. sangkun2923@gmail.com.

Funding

Korea Health Industry Development Institute RS-2023-00265638
6 · The paper itself

Abstract

Despite the increasing number of available antiseizure medications (ASMs), optimal medical therapy is still a process of trial and error. We aimed to predict the responsiveness of various ASMs based on initial tests using artificial intelligence. The study consisted of 2586 patients fulfilling the following criteria: (1) first visit to the epileptologists from 2008 to 2017, (2) a diagnosis of epilepsy, and 3) ≥ three years of follow-up duration. The clinical characteristics, ASM history, seizure frequency, laboratory, EEG, and MRI results, were collected. Machine algorithms were utilized to predict the responsiveness of specific regimens. Valproate showed the highest area under curve (AUC), 0.636. The AUCs of levetiracetam, oxcarbazepine, and lamotrigine were 0.614, 0.633, and 0.674. The AUCs of common dual regimens were 0.543 for levetiracetam + oxcarbazepine, 0.454 for levetiracetam + valproate, and 0.583 for levetiracetam + lamotrigine. Levetiracetam + carbamazepine showed the highest AUC, 0.686. In Shapley Additive exPlanations analysis, seizure type significantly impacted prediction performance for valproate responsiveness, and onset age and disease duration for lamotrigine. The prediction performances for the response based on initial data differ according to ASMs. An enormous dataset from a multicenter would improve the prediction power of ASM responsiveness in the future.

Indexed as

AnticonvulsantsEpilepsyPrecision MedicineAdolescentAdultArtificial IntelligenceElectroencephalographyFemaleHumansLamotrigineLevetiracetamMaleMiddle AgedOxcarbazepineTreatment OutcomeValproic AcidAnticonvulsantsLamotrigineLevetiracetamOxcarbazepineValproic AcidAntiseizure medicationArtificial intelligenceOptimal regimenPrediction

Identifiers

PMID41006507
PMCPMC12475458

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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.