Prediction of Symptomatic Intracranial Hemorrhage Before Mechanical Thrombectomy Using Machine Learning in Patients with Anterior Circulation Large Vessel Occlusion.

Journal: World neurosurgery
PMID:

Abstract

BACKGROUND: Symptomatic intracranial hemorrhage (sICH) after mechanical thrombectomy (MT) is associated with worse outcomes. We sought to develop and internally validate a machine learning (ML) model to predict sICH prior to MT in patients with anterior circulation large vessel occlusion.

Authors

  • Haydn Hoffman
    Department of Neurosurgery, University of California Los Angeles, 300 Stein Plaza, Suite 536, Los Angeles, CA 90095-6901, USA.
  • Joel Sequeiros Chirinos
    Department of Neurology, The University of Tennessee Health Sciences Center, Memphis, Tennessee, USA.
  • Nickalus Khan
    Semmes Murphey Clinic, Memphis, Tennessee, USA; Department of Neurosurgery, The University of Tennessee Health Sciences Center, Memphis, Tennessee, USA.
  • Christopher Nickele
    Semmes Murphey Clinic, Memphis, Tennessee, USA; Department of Neurosurgery, The University of Tennessee Health Sciences Center, Memphis, Tennessee, USA.
  • Violiza Inoa
    Semmes Murphey Clinic, Memphis, Tennessee, USA; Department of Neurology, The University of Tennessee Health Sciences Center, Memphis, Tennessee, USA.
  • Lucas Elijovich
    From the Biocomplexity Institute (V.A., R.Z.), Department of Industrial and Systems Engineering (G.T.), and Nutritional Immunology and Molecular Medicine Laboratory, Biocomplexity Institute (R.H., J.B.-R.), Virginia Tech, Blacksburg; Biomedical and Translational Informatics Institute (V.A.) and Department of Neurology (R.Z.), Geisinger Health System, Danville, PA; Department of Neurology, University of Tennessee Health Science Center, Memphis (N.G., G.T., L.E., J.E.M., A.W.A., A.V.A., R.Z.); Second Department of Neurology, "Attikon University Hospital," School of Medicine, University of Athens, Greece (N.H.); and Neurovascular Imaging Research Core and UCLA Stroke Center, University of California, Los Angeles (D.S.L.).
  • Cheran Elangovan
    College of Medicine, University of Tennessee Health Sciences Center, Memphis, TN, United States.
  • Balaji Krishnaiah
    College of Medicine, University of Tennessee Health Sciences Center, Memphis, TN, United States.
  • Daniel Hoit
    Semmes Murphey Clinic, Memphis, Tennessee, USA; Department of Neurosurgery, The University of Tennessee Health Sciences Center, Memphis, Tennessee, USA.
  • Adam S Arthur
    Semmes Murphey Clinic, Memphis, Tennessee, USA; Department of Neurosurgery, The University of Tennessee Health Sciences Center, Memphis, Tennessee, USA.
  • Nitin Goyal
    Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA.