Evidence map›Paper›PMID 42171773›Full record

ArticleJournal of neurology2026

Radiomic hemorrhage roundness predicts outcome beyond the ICH score in deep intracerebral hemorrhage with IVH.

Alexandru Guranda, Johannes Wach, Sebastian Lehmann, Felix Arlt, Alim Emre Basaran, Tim Wende, Erdem Güresir, Martin Vychopen

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Article in Journal of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Alexandru GurandaDepartment of Neurosurgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany. alexandru.guranda@medizin.uni-leipzig.de.ORCID http://orcid.org/0009-0008-2949-3538
Johannes WachDepartment of Neurosurgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.ORCID http://orcid.org/0000-0002-4680-0412
Sebastian LehmannDepartment of Neurosurgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.ORCID http://orcid.org/0009-0006-5037-036X
Felix ArltDepartment of Neurosurgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.ORCID http://orcid.org/0000-0003-3749-2494
Alim Emre BasaranDepartment of Neurosurgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.ORCID http://orcid.org/0009-0006-6872-5528
Tim WendeDepartment of Neurosurgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.ORCID http://orcid.org/0000-0002-8634-8897
Erdem GüresirDepartment of Neurosurgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.ORCID http://orcid.org/0000-0001-8319-0847
Martin VychopenDepartment of Neurosurgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.ORCID http://orcid.org/0000-0002-1794-0387

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate prognostication in deep supratentorial intracerebral hemorrhage (ICH) remains challenging. Hematoma volume is a key determinant of outcome and a component of the ICH Score. Whether radiomics-derived shape features provide prognostic information beyond volumetric burden and clinical risk scores remains unclear. We investigated the association between radiomic shape characteristics of basal ganglia hemorrhage (BGH) and intraventricular hemorrhage (IVH) with in-hospital mortality and unfavorable functional outcome.

methodsWe retrospectively analyzed 50 patients with deep supratentorial ICH and IVH. Semi-automated segmentations were used to extract radiomic features (roundness, elongation, flatness, Feret diameter, surface area) and volumetric parameters. Logistic regression models were constructed for in-hospital mortality and unfavorable functional outcome (mRS 5-6 at discharge; secondary definition mRS 4-6), with collinearity assessment guiding feature selection. Model discrimination was evaluated using receiver operating characteristic curves with DeLong comparisons. Secondary models incorporated the ICH Score. Calibration and internal validation were assessed using the Hosmer-Lemeshow test and bootstrap resampling (1000 iterations).

resultsFor in-hospital mortality, BGH roundness showed discrimination comparable to BGH volume (AUC 0.742 vs 0.738). In multivariable analysis, lower roundness remained independently associated with mortality after adjustment for the ICH Score (OR 0.20 per 0.1 increase; 95% CI 0.04-0.66; p = 0.021), whereas volume was no longer significant. The combined model achieved an AUC of 0.866 versus 0.813 for the ICH Score (DeLong p = 0.28). IVH-derived shape parameters were not associated. For unfavorable outcome, BGH volume remained strongest predictor.

conclusionsRadiomic hemorrhage roundness may provide complementary prognostic information beyond hematoma volume and the ICH Score in deep ICH with IVH.

Indexed as

Basal Ganglia HemorrhageCerebral HemorrhageCerebral Intraventricular HemorrhageAgedAged, 80 and overFemaleHospital MortalityHumansMaleMiddle AgedPrognosisRadiomicsRetrospective StudiesTomography, X-Ray ComputedBasal ganglia hemorrhageHematoma morphologyICH scoreIntracerebral hemorrhageIntraventricular hemorrhage

Identifiers

PMID42171773
PMCPMC13197261

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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.