Dies ist eine Übersichtsseite mit Metadaten zu dieser wissenschaftlichen Arbeit. Der vollständige Artikel ist beim Verlag verfügbar.
Nomogram to predict 1-year cognitive decline after stent placement for unruptured intracranial aneurysms
0
Zitationen
17
Autoren
2025
Jahr
Abstract
New iatrogenic cerebral infarcts (NICIs) are common findings on diffusion-weighted magnetic resonance imaging (DWI) following stent placement for unruptured intracranial aneurysms (UIAs) and may contribute to cognitive decline (CD). Using posttreatment DWI and clinical features, we developed a deep learning radiomics nomogram (DLRN) to predict 1-year CD in NICI patients. In a multicenter cohort of 526 patients, CD rates at 1 year were 18.7% (47/251) in the training cohort, 19.8% (33/167) in the external validation cohort, and 20.4% (22/108) in the prospective cohort. The DLRN achieved excellent predictive performance with areas under the curve of 0.975, 0.942, and 0.841 for the respective cohorts. Calibration and decision curve analyses confirmed its reliability and clinical utility. This tool could facilitate early identification of high-risk patients, enabling timely, and tailored interventions to protect cognitive function.
Ähnliche Arbeiten
Beneficial Effect of Carotid Endarterectomy in Symptomatic Patients with High-Grade Carotid Stenosis
1991 · 8.430 Zit.
Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct
2017 · 5.467 Zit.
Family history of subarachnoid haemorrhage: supplemental value of scrutinizing all relatives.
1997 · 4.146 Zit.
Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment
2003 · 3.878 Zit.
International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial
2002 · 3.605 Zit.