Thrombus radiomics in patients with anterior circulation acute ischemic stroke undergoing endovascular treatment Article Swipe
Henk van Voorst
,
Agnetha A.E. Bruggeman
,
Wenjin Yang
,
Jurr O. Andriessen
,
Elise Welberg
,
Bruna Garbugio Dutra
,
Praneeta R. Konduri
,
Nerea Arrarte Terreros
,
Jan W. Hoving
,
Manon L. Tolhuisen
,
Manon Kappelhof
,
Josje Brouwer
,
Nikki Boodt
,
Katinka R. van Kranendonk
,
Miou S. Koopman
,
Hajo Hund
,
Menno Krietemeijer
,
Wim H. van Zwam
,
Heleen M.M. van Beusekom
,
Aad van der Lugt
,
Bart J. Emmer
,
Henk A. Marquering
,
Yvo B.W.E.M. Roos
,
Matthan W.A. Caan
,
Charles B.L.M. Majoie
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1136/jnis-2022-019085
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1136/jnis-2022-019085
Background Thrombus radiomics (TR) describe complex shape and textural thrombus imaging features. We aimed to study the relationship of TR extracted from non-contrast CT with procedural and functional outcome in endovascular-treated patients with acute ischemic stroke. Methods Thrombi were segmented on thin-slice non-contrast CT (≤1 mm) from 699 patients included in the MR CLEAN Registry. In a pilot study, we selected 51 TR with consistent values across two raters’ segmentations (ICC >0.75). Random forest models using TR in addition or as a substitute to baseline clinical variables (CV) and manual thrombus measurements (MTM) were trained with 499 patients and evaluated on 200 patients for predicting successful reperfusion (extended Thrombolysis in Cerebral Ischemia (eTICI) ≥2B), first attempt reperfusion, reperfusion within three attempts, and functional independence (modified Rankin Scale (mRS) ≤2). Three texture and shape features were selected based on feature importance and related to eTICI ≥2B, number of attempts to eTICI ≥2B, and 90-day mRS with ordinal logistic regression. Results Random forest models using TR, CV or MTM had comparable predictive performance. Thrombus texture (inverse difference moment normalized) was independently associated with reperfusion (adjusted common OR (acOR) 0.85, 95% CI 0.72 to 0.99). Thrombus volume and texture were also independently associated with the number of attempts to successful reperfusion (acOR 1.36, 95% CI 1.03 to 1.88 and acOR 1.24, 95% CI 1.04 to 1.49). Conclusions TR describing thrombus volume and texture were associated with more attempts to successful reperfusion. Compared with models using CV and MTM, TR had no added value for predicting procedural and functional outcome.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/jnis-2022-019085
- https://jnis.bmj.com/content/neurintsurg/early/2022/07/26/jnis-2022-019085.full.pdf
- OA Status
- bronze
- Cited By
- 23
- References
- 30
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4288178720
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4288178720Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/jnis-2022-019085Digital Object Identifier
- Title
-
Thrombus radiomics in patients with anterior circulation acute ischemic stroke undergoing endovascular treatmentWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-07-26Full publication date if available
- Authors
-
Henk van Voorst, Agnetha A.E. Bruggeman, Wenjin Yang, Jurr O. Andriessen, Elise Welberg, Bruna Garbugio Dutra, Praneeta R. Konduri, Nerea Arrarte Terreros, Jan W. Hoving, Manon L. Tolhuisen, Manon Kappelhof, Josje Brouwer, Nikki Boodt, Katinka R. van Kranendonk, Miou S. Koopman, Hajo Hund, Menno Krietemeijer, Wim H. van Zwam, Heleen M.M. van Beusekom, Aad van der Lugt, Bart J. Emmer, Henk A. Marquering, Yvo B.W.E.M. Roos, Matthan W.A. Caan, Charles B.L.M. MajoieList of authors in order
- Landing page
-
https://doi.org/10.1136/jnis-2022-019085Publisher landing page
- PDF URL
-
https://jnis.bmj.com/content/neurintsurg/early/2022/07/26/jnis-2022-019085.full.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://jnis.bmj.com/content/neurintsurg/early/2022/07/26/jnis-2022-019085.full.pdfDirect OA link when available
- Concepts
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Medicine, Thrombus, Thrombolysis, Modified Rankin Scale, Stroke (engine), Cardiology, Internal medicine, Radiology, Ischemic stroke, Surgery, Ischemia, Myocardial infarction, Engineering, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
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23Total citation count in OpenAlex
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2025: 7, 2024: 3, 2023: 11, 2022: 2Per-year citation counts (last 5 years)
- References (count)
-
30Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.manual | 89 |
| abstract_inverted_index.models | 74, 161, 240 |
| abstract_inverted_index.moment | 175 |
| abstract_inverted_index.number | 145, 202 |
| abstract_inverted_index.study, | 58 |
| abstract_inverted_index.values | 65 |
| abstract_inverted_index.volume | 193, 227 |
| abstract_inverted_index.within | 118 |
| abstract_inverted_index.≤2). | 128 |
| abstract_inverted_index.≥2B, | 144, 150 |
| abstract_inverted_index.(eTICI) | 112 |
| abstract_inverted_index.Methods | 36 |
| abstract_inverted_index.Results | 158 |
| abstract_inverted_index.Thrombi | 37 |
| abstract_inverted_index.attempt | 115 |
| abstract_inverted_index.complex | 5 |
| abstract_inverted_index.feature | 138 |
| abstract_inverted_index.imaging | 10 |
| abstract_inverted_index.ordinal | 155 |
| abstract_inverted_index.outcome | 28 |
| abstract_inverted_index.related | 141 |
| abstract_inverted_index.stroke. | 35 |
| abstract_inverted_index.texture | 130, 172, 195, 229 |
| abstract_inverted_index.trained | 94 |
| abstract_inverted_index.≥2B), | 113 |
| abstract_inverted_index.(inverse | 173 |
| abstract_inverted_index.Cerebral | 110 |
| abstract_inverted_index.Compared | 238 |
| abstract_inverted_index.Ischemia | 111 |
| abstract_inverted_index.Thrombus | 1, 171, 192 |
| abstract_inverted_index.addition | 78 |
| abstract_inverted_index.attempts | 147, 204, 234 |
| abstract_inverted_index.baseline | 84 |
| abstract_inverted_index.clinical | 85 |
| abstract_inverted_index.describe | 4 |
| abstract_inverted_index.features | 133 |
| abstract_inverted_index.included | 49 |
| abstract_inverted_index.ischemic | 34 |
| abstract_inverted_index.logistic | 156 |
| abstract_inverted_index.outcome. | 255 |
| abstract_inverted_index.patients | 31, 48, 97, 102 |
| abstract_inverted_index.selected | 60, 135 |
| abstract_inverted_index.textural | 8 |
| abstract_inverted_index.thrombus | 9, 90, 226 |
| abstract_inverted_index.(adjusted | 182 |
| abstract_inverted_index.(extended | 107 |
| abstract_inverted_index.(modified | 124 |
| abstract_inverted_index.Registry. | 54 |
| abstract_inverted_index.attempts, | 120 |
| abstract_inverted_index.evaluated | 99 |
| abstract_inverted_index.extracted | 20 |
| abstract_inverted_index.features. | 11 |
| abstract_inverted_index.radiomics | 2 |
| abstract_inverted_index.raters’ | 68 |
| abstract_inverted_index.segmented | 39 |
| abstract_inverted_index.variables | 86 |
| abstract_inverted_index.>0.75). | 71 |
| abstract_inverted_index.Background | 0 |
| abstract_inverted_index.associated | 179, 199, 231 |
| abstract_inverted_index.comparable | 168 |
| abstract_inverted_index.consistent | 64 |
| abstract_inverted_index.describing | 225 |
| abstract_inverted_index.difference | 174 |
| abstract_inverted_index.functional | 27, 122, 254 |
| abstract_inverted_index.importance | 139 |
| abstract_inverted_index.predicting | 104, 251 |
| abstract_inverted_index.predictive | 169 |
| abstract_inverted_index.procedural | 25, 252 |
| abstract_inverted_index.substitute | 82 |
| abstract_inverted_index.successful | 105, 206, 236 |
| abstract_inverted_index.thin-slice | 41 |
| abstract_inverted_index.Conclusions | 223 |
| abstract_inverted_index.normalized) | 176 |
| abstract_inverted_index.regression. | 157 |
| abstract_inverted_index.reperfusion | 106, 117, 181, 207 |
| abstract_inverted_index.Thrombolysis | 108 |
| abstract_inverted_index.independence | 123 |
| abstract_inverted_index.measurements | 91 |
| abstract_inverted_index.non-contrast | 22, 42 |
| abstract_inverted_index.performance. | 170 |
| abstract_inverted_index.relationship | 17 |
| abstract_inverted_index.reperfusion, | 116 |
| abstract_inverted_index.reperfusion. | 237 |
| abstract_inverted_index.independently | 178, 198 |
| abstract_inverted_index.segmentations | 69 |
| abstract_inverted_index.endovascular-treated | 30 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 94 |
| corresponding_author_ids | https://openalex.org/A5049075389 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 25 |
| corresponding_institution_ids | https://openalex.org/I4210151833 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/15 |
| sustainable_development_goals[0].score | 0.6600000262260437 |
| sustainable_development_goals[0].display_name | Life in Land |
| citation_normalized_percentile.value | 0.94259898 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |