Evidence map›Paper›PMID 41361520›Full record

ArticleNPJ digital medicine2025

Deep learning-based brain age predicts stroke recurrence in acute ischemic cerebrovascular disease.

Hongyu Zhou, Ziyang Liu, Jing Jing, Hongqiu Gu, Lingling Ding, Yingyu Jiang, Hao Liu, Jinxin Zhao, Wanlin Zhu, Yuesong Pan and 12 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

22 authors.

Hongyu Zhou *Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Ziyang Liu *Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China.
Jing JingDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Hongqiu GuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Lingling DingDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yingyu JiangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Hao LiuBeijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China.
Jinxin ZhaoSchool of Computer Science and Engineering, Beihang University, Beijing, China.
Wanlin ZhuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yuesong PanDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yong JiangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Xia MengDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Xuewei XieDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Zhe ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Jian ChengSchool of Computer Science and Engineering, Beihang University, Beijing, China.
Yubo FanBeijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China.
Yilong WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Xingquan ZhaoDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Hao LiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Zixiao LiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. lizixiao2008@hotmail.com.
Tao LiuBeijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China. tao.liu@buaa.edu.cn.
Yongjun WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. yongjunwang@ncrcnd.org.cn.

Funding

Beijing Natural Science Foundation Z200016Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences 2019-I2M-5-029National Key Research and Development Program of China 2022YFC2504900National Natural Science Foundation of China 82372040National Natural Science Foundation of China U20A20358
6 · The paper itself

Abstract

Acute ischemic cerebrovascular disease (AICVD) exhibits high recurrence rates, necessitating novel biomarkers for refined risk stratification. While MRI-derived brain age correlates with stroke incidence, its prognostic utility for recurrence is unestablished. We developed the Mask-based Brain Age estimation Network (MBA Net), a deep learning framework designed for AICVD patients. MBA Net predicts contextual brain age (CBA) in non-infarcted regions by masking acute infarcts on T2-FLAIR images, thereby mitigating the confounding effects of dynamic infarcts during acute-phase neuroimaging. The model was trained on data from 5353 healthy individuals and then applied to a multicenter cohort of 10,890 AICVD patients. Brain age gap (BAG), defined as the deviation between CBA and chronological age, independently predicted stroke recurrence at both 3 months and 5 years, outperforming chronological age. Incorporating BAG into established prediction models significantly improved discriminative performance. These findings support brain age's potential utility in AI-driven precision strategies for secondary stroke prevention.

Identifiers

PMID41361520
PMCPMC12686522

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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.