Diagnostic and predictive value of radiomics-based machine learning for intracranial aneurysm rupture status: a systematic review and meta-analysis.

IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY
Jianguo Zhong, Yu Jiang, Qiqiang Huang, Shaochun Yang
{"title":"Diagnostic and predictive value of radiomics-based machine learning for intracranial aneurysm rupture status: a systematic review and meta-analysis.","authors":"Jianguo Zhong, Yu Jiang, Qiqiang Huang, Shaochun Yang","doi":"10.1007/s10143-024-03086-5","DOIUrl":null,"url":null,"abstract":"<p><p>Currently, the growing interest in radiomics within the clinical practice has prompted some researchers to differentiate the rupture status of intracranial aneurysm (IA) by developing radiomics-based machine learning models. However, systematic evidence supporting its performance remains scarce. The purpose of this meta-analysis and systematic review is to assess the diagnostic performance of radiomics-based machine learning for the early detection of IA rupture and to offer evidence-based recommendations for the application of radiomics in this area. PubMed, Cochrane, Embase, and Web of Science databases were searched systematically up to March 2, 2024. The Radiomics Quality Score (RQS) was employed to assess the risk of bias in all included primary studies. We separately discussed the diagnostic or predictive performance of machine learning for IA rupture status based on task type (diagnosis or prediction).  We finally included 15 original studies covering 9,111 IA cases. In the validation cohort, radiomics demonstrated a sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic odds ratio, as well as SROC curve of 0.84 (95% CI: 0.76-0.90), 0.82 (95% CI: 0.77-0.86), 4.7 (95% CI: 3.7-5.8), 0.19 (95% CI: 0.13-0.29), and 24 (95% CI: 15-40), respectively, for the diagnostic task of aneurysm rupture status. Only 2 studies (3 models) addressed predictive tasks, with sensitivity and specificity ranging from 0.77 to 0.89 and from 0.69 to 0.87, respectively. Radiomics-based machine learning exhibits promising accuracy for early identification of IA rupture status, whereas evidence for its predictive capability is limited. Further research is needed to validate predictive models and provide insights for developing specialized strategies to prevent aneurysm rupture.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"47 1","pages":"845"},"PeriodicalIF":2.5000,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554722/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurosurgical Review","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10143-024-03086-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Currently, the growing interest in radiomics within the clinical practice has prompted some researchers to differentiate the rupture status of intracranial aneurysm (IA) by developing radiomics-based machine learning models. However, systematic evidence supporting its performance remains scarce. The purpose of this meta-analysis and systematic review is to assess the diagnostic performance of radiomics-based machine learning for the early detection of IA rupture and to offer evidence-based recommendations for the application of radiomics in this area. PubMed, Cochrane, Embase, and Web of Science databases were searched systematically up to March 2, 2024. The Radiomics Quality Score (RQS) was employed to assess the risk of bias in all included primary studies. We separately discussed the diagnostic or predictive performance of machine learning for IA rupture status based on task type (diagnosis or prediction).  We finally included 15 original studies covering 9,111 IA cases. In the validation cohort, radiomics demonstrated a sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic odds ratio, as well as SROC curve of 0.84 (95% CI: 0.76-0.90), 0.82 (95% CI: 0.77-0.86), 4.7 (95% CI: 3.7-5.8), 0.19 (95% CI: 0.13-0.29), and 24 (95% CI: 15-40), respectively, for the diagnostic task of aneurysm rupture status. Only 2 studies (3 models) addressed predictive tasks, with sensitivity and specificity ranging from 0.77 to 0.89 and from 0.69 to 0.87, respectively. Radiomics-based machine learning exhibits promising accuracy for early identification of IA rupture status, whereas evidence for its predictive capability is limited. Further research is needed to validate predictive models and provide insights for developing specialized strategies to prevent aneurysm rupture.

基于放射组学的机器学习对颅内动脉瘤破裂状态的诊断和预测价值:系统综述和荟萃分析。
目前,临床实践中对放射组学的兴趣与日俱增,促使一些研究人员通过开发基于放射组学的机器学习模型来区分颅内动脉瘤(IA)的破裂状态。然而,支持其性能的系统性证据仍然很少。本荟萃分析和系统综述旨在评估基于放射组学的机器学习在早期检测颅内动脉瘤破裂方面的诊断性能,并为放射组学在该领域的应用提供循证建议。截至 2024 年 3 月 2 日,对 PubMed、Cochrane、Embase 和 Web of Science 数据库进行了系统检索。采用放射组学质量评分(RQS)来评估所有纳入的主要研究的偏倚风险。我们根据任务类型(诊断或预测)分别讨论了机器学习对 IA 破裂状态的诊断或预测性能。 我们最终纳入了 15 项原始研究,涵盖 9111 例 IA 病例。在验证队列中,放射组学对动脉瘤破裂状态诊断任务的灵敏度、特异性、正似然比、负似然比、诊断几率比以及 SROC 曲线分别为 0.84(95% CI:0.76-0.90)、0.82(95% CI:0.77-0.86)、4.7(95% CI:3.7-5.8)、0.19(95% CI:0.13-0.29)和 24(95% CI:15-40)。只有 2 项研究(3 个模型)涉及预测任务,灵敏度和特异性分别为 0.77 至 0.89 和 0.69 至 0.87。基于放射组学的机器学习在早期识别IA破裂状态方面表现出良好的准确性,但其预测能力的证据有限。还需要进一步的研究来验证预测模型,并为制定预防动脉瘤破裂的专门策略提供见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Neurosurgical Review
Neurosurgical Review 医学-临床神经学
CiteScore
5.60
自引率
7.10%
发文量
191
审稿时长
6-12 weeks
期刊介绍: The goal of Neurosurgical Review is to provide a forum for comprehensive reviews on current issues in neurosurgery. Each issue contains up to three reviews, reflecting all important aspects of one topic (a disease or a surgical approach). Comments by a panel of experts within the same issue complete the topic. By providing comprehensive coverage of one topic per issue, Neurosurgical Review combines the topicality of professional journals with the indepth treatment of a monograph. Original papers of high quality are also welcome.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信