Predicting outcome and recovery after stroke with lesions extracted from MRI images☆

Here, we present and validate a method that lets us predict the severity of cognitive impairments after stroke, and the likely course of recovery over time. Our approach employs (a) a database that records the behavioural scores from a large population of patients who have, collectively, incurred a...

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Main Authors: Hope, Thomas M.H., Seghier, Mohamed L., Leff, Alex P., Price, Cathy J.
Format: Online
Language:English
Published: Elsevier 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3778268/
id pubmed-3778268
recordtype oai_dc
spelling pubmed-37782682013-10-31 Predicting outcome and recovery after stroke with lesions extracted from MRI images☆ Hope, Thomas M.H. Seghier, Mohamed L. Leff, Alex P. Price, Cathy J. Article Here, we present and validate a method that lets us predict the severity of cognitive impairments after stroke, and the likely course of recovery over time. Our approach employs (a) a database that records the behavioural scores from a large population of patients who have, collectively, incurred a comprehensive range of focal brain lesions, (b) an automated procedure to convert structural brain scans from those patients into three-dimensional images of their lesions, and (c) a system to learn the relationship between patients' lesions, demographics and behavioural capacities at different times post-stroke. Validation against data collected from 270 stroke patients suggests that our first set of variables yielded predictions that match or exceed the predictive power reported in any comparable work in the available literature. Predictions are likely to improve when other determinants of recovery are included in the system. Many behavioural outcomes after stroke could be predicted using the proposed approach. Elsevier 2013-03-22 /pmc/articles/PMC3778268/ /pubmed/24179796 http://dx.doi.org/10.1016/j.nicl.2013.03.005 Text en © 2013 The Authors http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Hope, Thomas M.H.
Seghier, Mohamed L.
Leff, Alex P.
Price, Cathy J.
spellingShingle Hope, Thomas M.H.
Seghier, Mohamed L.
Leff, Alex P.
Price, Cathy J.
Predicting outcome and recovery after stroke with lesions extracted from MRI images☆
author_facet Hope, Thomas M.H.
Seghier, Mohamed L.
Leff, Alex P.
Price, Cathy J.
author_sort Hope, Thomas M.H.
title Predicting outcome and recovery after stroke with lesions extracted from MRI images☆
title_short Predicting outcome and recovery after stroke with lesions extracted from MRI images☆
title_full Predicting outcome and recovery after stroke with lesions extracted from MRI images☆
title_fullStr Predicting outcome and recovery after stroke with lesions extracted from MRI images☆
title_full_unstemmed Predicting outcome and recovery after stroke with lesions extracted from MRI images☆
title_sort predicting outcome and recovery after stroke with lesions extracted from mri images☆
description Here, we present and validate a method that lets us predict the severity of cognitive impairments after stroke, and the likely course of recovery over time. Our approach employs (a) a database that records the behavioural scores from a large population of patients who have, collectively, incurred a comprehensive range of focal brain lesions, (b) an automated procedure to convert structural brain scans from those patients into three-dimensional images of their lesions, and (c) a system to learn the relationship between patients' lesions, demographics and behavioural capacities at different times post-stroke. Validation against data collected from 270 stroke patients suggests that our first set of variables yielded predictions that match or exceed the predictive power reported in any comparable work in the available literature. Predictions are likely to improve when other determinants of recovery are included in the system. Many behavioural outcomes after stroke could be predicted using the proposed approach.
publisher Elsevier
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3778268/
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