Revisiting the Endoscopic Third Ventriculostomy Success Score using machine learning: can we do better?

Journal: Journal of neurosurgery. Pediatrics
Published Date: Dec 6, 2024

Abstract

OBJECTIVE: The Endoscopic Third Ventriculostomy Success Score (ETVSS) is a useful decision-making heuristic when considering the probability of surgical success, defined traditionally as no repeat cerebrospinal fluid diversion surgery needed within 6 months. Nonetheless, the performance of the logistic regression (LR) model in the original 2009 study was modest, with an area under the receiver operating characteristic curve (AUROC) of 0.68. The authors sought to use a larger dataset to develop more accurate machine learning (ML) models to predict endoscopic third ventriculostomy (ETV) success and also to perform the largest validation of the ETVSS to date.

Authors

  • Syed M Adil
    Division of Global Neurosurgery and Neurology, Duke University Medical Center, Durham, North Carolina, USA.
  • Andreas Seas
    Division of Global Neurosurgery and Neurology, Duke University Medical Center, Durham, North Carolina, USA; Department of Biomedical Engineering, Pratt School of Engineering, Duke University, Durham, North Carolina, USA.
  • Daniel P Sexton
    Department of Neurosurgery, Duke University, Durham, NC, USA.
  • Pranav I Warman
    Division of Global Neurosurgery and Neurology, Duke University Medical Center, Durham, North Carolina, USA.
  • Benjamin D Wissel
    Department of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
  • Kennedy L Carpenter
    Departments of1Neurosurgery and.
  • Lacey Carter
    3Department of Pediatrics, Division of Pediatric Neurosurgery, Prisma Health Greenville Memorial Hospital, Greenville, South Carolina.
  • Brad J Kolls
    4Neurology, Duke University Medical Center, Durham, North Carolina.
  • Anthony T Fuller
    Division of Global Neurosurgery and Neurology, Duke University Medical Center, Durham, North Carolina, USA.
  • Shivanand P Lad
    Departments of1Neurosurgery and.
  • Timothy W Dunn
    Division of Global Neurosurgery and Neurology, Duke University Medical Center, Durham, North Carolina, USA.
  • Herbert Fuchs
    Departments of1Neurosurgery and.
  • Matthew Vestal
    Departments of1Neurosurgery and.
  • Gerald A Grant
    Departments of1Neurosurgery and.

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