Evidence map›Paper›PMID 37464200›Full record

ArticleLa Radiologia medica2023

Performance of deep learning-based autodetection of arterial stenosis on head and neck CT angiography: an independent external validation study.

Yongwei Yang, Xinyue Huan, Dajing Guo, Xiaolin Wang, Shengwen Niu, Kunhua Li

Abstract read
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

6 authors at 1 institution in 1 country.

Yongwei Yang *Department of Radiology, the Second Affiliated Hospital of Chongqing Medical University, Yuzhong District, No. 74 Linjiang Rd, Chongqing, 400010, China.
Xinyue Huan *Department of Radiology, the Second Affiliated Hospital of Chongqing Medical University, Yuzhong District, No. 74 Linjiang Rd, Chongqing, 400010, China.
Dajing GuoDepartment of Radiology, the Second Affiliated Hospital of Chongqing Medical University, Yuzhong District, No. 74 Linjiang Rd, Chongqing, 400010, China.
Xiaolin WangDepartment of Radiology, the Second Affiliated Hospital of Chongqing Medical University, Yuzhong District, No. 74 Linjiang Rd, Chongqing, 400010, China.
Shengwen NiuDepartment of Radiology, the Second Affiliated Hospital of Chongqing Medical University, Yuzhong District, No. 74 Linjiang Rd, Chongqing, 400010, China.
Kunhua LiDepartment of Radiology, the Second Affiliated Hospital of Chongqing Medical University, Yuzhong District, No. 74 Linjiang Rd, Chongqing, 400010, China. likunhua@hospital.cqmu.edu.cn.ORCID http://orcid.org/0000-0002-2360-0397
Dalian Medical University · CN

Funding

Chongqing medical scientific research project (Joint project of Chongqing Health Commission and Science and Technology Bureau) 2023MSXM014
6 · The paper itself

Abstract

purposeTo externally validate the performance of automated stenosis detection on head and neck CT angiography (CTA) and investigate the impact factors using an independent bi-center dataset with digital subtraction angiography (DSA) as the ground truth. MATERIAL AND

methodsPatients who underwent head and neck CTA and DSA between January 2019 and December 2021 were retrospectively included. The degree of stenosis was automatically evaluated using CerebralDoc based on CTA. The performance of CerebralDoc across levels (per-patient, per-region, per-vessel, and per-segment) and thresholds (≥ 50%, ≥ 70%, and = 100%) was evaluated. Logistic regression was performed to identify independent factors associated with false negative results.

results296 patients were analyzed. Specificity across levels and thresholds was high, exceeding 92%. The area under the curve ranged from poor (0.615, 95% CI: 0.544, 0.686; at the region-based analysis for stenosis ≥ 70%) to excellent (0.945, 95% CI: 0.905, 0.985; at the patient-based analysis for stenosis ≥ 50%). Sensitivity ranged from 0.714 (95% CI: 0.675, 0.750) at the segment-based analysis for stenosis ≥ 70% to 0.895 (95% CI: 0.849, 0.919) at the patient-based analysis for stenosis ≥ 50%. The multiple logistic regression analysis revealed that false negative results were primarily more likely to specific stenosis locations (particularly the M2 segment and skull base segment of the internal carotid artery) and occlusion.

conclusionsCerebralDoc has the potential to automated stenosis detection on head and neck CTA, but further efforts are needed to optimize its performance.

Indexed as

Carotid StenosisDeep LearningAngiography, Digital SubtractionComputed Tomography AngiographyConstriction, PathologicHumansRetrospective StudiesSensitivity and SpecificityArteriesArtificial intelligenceComputed tomography angiographyStroke

Identifiers

PMID37464200
OpenAlexW4384662304

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.