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Predictive performance of machine learning models in acute ischemic stroke: a systematic review and meta-analysis

2026·0 Zitationen·Frontiers in NeurologyOpen Access
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5

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2026

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Abstract

Introduction: Acute ischemic stroke (AIS) is a leading cause of global mortality and disability worldwide. Machine learning (ML) models enhance prognostic accuracy by analysing complex, multidimensional clinical data. The aim of this systematic review and meta-analysis is to identify the gaps in the current ML models, along with methodological and performance outcomes in AIS. Further, the study objective was to identify the most frequently used algorithms and compare their relative effectiveness, thereby supporting future research to develop novel ML-based predictive models for stroke care management. Methods: ) statistic using SPSS-29 and R-Studio-4.2.0. Results: < 0.001). Conclusion: ML-based models show potential for improving prognostic assessment in AIS; however, substantial heterogeneity and methodological limitations across studies limit the generalizability of pooled performance estimates. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251033217, (Registration number: CRD420251033217).

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