Evidence map›Paper›PMID 39546007›Full record

SynthesisClinical neuroradiology2025

Machine Learning Algorithms to Predict the Risk of Rupture of Intracranial Aneurysms: a Systematic Review.

Karan Daga, Siddharth Agarwal, Zaeem Moti, Matthew B K Lee, Munaib Din, David Wood, Marc Modat, Thomas C Booth

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

8 authors.

Karan DagaSchool of Biomedical Engineering & Imaging Sciences, King's College London, BMEIS, King's College London. 1 Lambeth Palace Road, UK SE1 7EU, London, UK.
Siddharth AgarwalSchool of Biomedical Engineering & Imaging Sciences, King's College London, BMEIS, King's College London. 1 Lambeth Palace Road, UK SE1 7EU, London, UK.
Zaeem MotiGuy's and St. Thomas' NHS Foundation Trust, Westminster Bridge Road, UK SE1 7EH, London, UK.
Matthew B K LeeUniversity College London Hospital NHS Foundation Trust, 235 Euston Rd, UK NW1 2BU, London, UK.
Munaib DinGuy's and St. Thomas' NHS Foundation Trust, Westminster Bridge Road, UK SE1 7EH, London, UK.
David WoodSchool of Biomedical Engineering & Imaging Sciences, King's College London, BMEIS, King's College London. 1 Lambeth Palace Road, UK SE1 7EU, London, UK.
Marc ModatSchool of Biomedical Engineering & Imaging Sciences, King's College London, BMEIS, King's College London. 1 Lambeth Palace Road, UK SE1 7EU, London, UK.
Thomas C BoothSchool of Biomedical Engineering & Imaging Sciences, King's College London, BMEIS, King's College London. 1 Lambeth Palace Road, UK SE1 7EU, London, UK. thomas.booth@kcl.ac.uk.

Funding

MRF MR/W021684/1Wellcome EPSRC Centre for Medical Engineering 203148/Z/16/ZWellcome Trust
6 · The paper itself

Abstract

purposeSubarachnoid haemorrhage is a potentially fatal consequence of intracranial aneurysm rupture, however, it is difficult to predict if aneurysms will rupture. Prophylactic treatment of an intracranial aneurysm also involves risk, hence identifying rupture-prone aneurysms is of substantial clinical importance. This systematic review aims to evaluate the performance of machine learning algorithms for predicting intracranial aneurysm rupture risk.

methodsMEDLINE, Embase, Cochrane Library and Web of Science were searched until December 2023. Studies incorporating any machine learning algorithm to predict the risk of rupture of an intracranial aneurysm were included. Risk of bias was assessed using the Prediction Model Risk of Bias Assessment Tool (PROBAST). PROSPERO registration: CRD42023452509.

resultsOut of 10,307 records screened, 20 studies met the eligibility criteria for this review incorporating a total of 20,286 aneurysm cases. The machine learning models gave a 0.66-0.90 range for performance accuracy. The models were compared to current clinical standards in six studies and gave mixed results. Most studies posed high or unclear risks of bias and concerns for applicability, limiting the inferences that can be drawn from them. There was insufficient homogenous data for a meta-analysis.

conclusionsMachine learning can be applied to predict the risk of rupture for intracranial aneurysms. However, the evidence does not comprehensively demonstrate superiority to existing practice, limiting its role as a clinical adjunct. Further prospective multicentre studies of recent machine learning tools are needed to prove clinical validation before they are implemented in the clinic.

Indexed as

Aneurysm, RupturedIntracranial AneurysmMachine LearningAlgorithmsHumansPredictive Value of TestsRisk AssessmentSubarachnoid HemorrhageAneurysmCerebrovascularIntracranial AneurysmMachine LearningSubarachnoid Haemorrhage

Identifiers

PMID39546007
PMCPMC11832721

What Socratic holds

Textmetadata
LicenceCC BY
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.