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Research ArticleARTIFICIAL INTELLIGENCE
Open Access

CT-Based Intrathrombus and Perithrombus Radiomics for Prediction of Prognosis after Endovascular Thrombectomy: A Retrospective Study across 2 Centers

Minda Li, Jingxuan Jiang, Hongmei Gu, Su Hu, Jingli Wang and Chunhong Hu
American Journal of Neuroradiology March 2025, DOI: https://doi.org/10.3174/ajnr.A8522
Minda Li
aFrom the Department of Radiology (M.L., S.H., C.H.), The First Affiliated Hospital of Soochow University, Suzhou, China
bDepartment of Radiology (M.L., J.J., H.G.), Affiliated Hospital of Nantong University, Nantong, China
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  • ORCID record for Minda Li
Jingxuan Jiang
bDepartment of Radiology (M.L., J.J., H.G.), Affiliated Hospital of Nantong University, Nantong, China
cInstitute of Diagnostic and Interventional Radiology (J.J.), Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Hongmei Gu
bDepartment of Radiology (M.L., J.J., H.G.), Affiliated Hospital of Nantong University, Nantong, China
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Su Hu
aFrom the Department of Radiology (M.L., S.H., C.H.), The First Affiliated Hospital of Soochow University, Suzhou, China
dInstitute of Medical Imaging (H.S., C.H.), Soochow University, Suzhou, China
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Jingli Wang
eStroke Center (J.W.), Affiliated Hospital of Nantong University, Nantong, China.
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Chunhong Hu
aFrom the Department of Radiology (M.L., S.H., C.H.), The First Affiliated Hospital of Soochow University, Suzhou, China
dInstitute of Medical Imaging (H.S., C.H.), Soochow University, Suzhou, China
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  • FIG 1.
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    FIG 1.

    Flow chart of the patient-selection process.

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    FIG 2.

    Workflow of the CT-based radiomics model.

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    FIG 3.

    Radiomics feature-selection based on the LASSO algorithm and Rad score based on intrathrombus (A), perithrombus (B), and combined regions (C). Details of selected radiomic features are in the supplementary materials.

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    FIG 4.

    In the training (A) and validation (B) cohorts, the 8 classifiers including the LR, SVM, KNN, RF, extra trees, XGBoost, LightGBM, and MLP obtained AUCs for the models, respectively. In the validation cohort, the AUC range of each model based on intrathrombus regions is 0.61–0.70. Based on perithrombus regions, it is 0.74–0.87, and on combined regions, it is 0.74–0.90 (C).

Tables

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  • Baseline demographic characteristics and clinical variables of enrolled patients

    VariablesTraining Cohort (n = 161)Validation Cohort (n = 175)P Value
    Good Outcome (n = 110) mRS (0–2)Poor Outcome (n = 51) mRS (3–6)P ValueGood Outcome (n = 98) mRS (0–2)Poor Outcome (n = 77) mRS (3–6)P Value
    Age (mean) (yr)65.7 (SD, 11.65)63.76 (SD, 13.51).4566.76 (SD, 12.45)66.96 (SD, 13.28).83.20
    Male (No.) (%)69 (62.73)34 (66.67).7668 (69.39)48 (62.34).41.66
    History (No.) (%)
     Hypertension90 (81.82)41 (80.39)1.0071 (72.45)54 (70.13).87.05
     Hyperlipidemia36 (32.73)16 (31.37)1.0023 (23.47)25 (32.47).25.33
     Diabetes34 (30.91)19 (37.25).5425 (25.51)24 (31.17).51.33
     Smoking21 (19.09)15 (29.41).2123 (23.47)16 (20.78).81.99
     Atrial fibrillation74 (67.27)24 (47.06).0269 (70.41)42 (54.55).05.63
     Coronary heart disease22 (20.00)7 (13.73).4616 (16.33)14 (18.18).90.83
    NIHSS score (mean)14.26 (SD, 8.45)14.51 (SD, 8.24).9214.32 (SD, 7.57)15.27 (SD, 6.90).19.64
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Cite this article
Minda Li, Jingxuan Jiang, Hongmei Gu, Su Hu, Jingli Wang, Chunhong Hu
CT-Based Intrathrombus and Perithrombus Radiomics for Prediction of Prognosis after Endovascular Thrombectomy: A Retrospective Study across 2 Centers
American Journal of Neuroradiology Mar 2025, DOI: 10.3174/ajnr.A8522

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Radiomics Predict Outcomes in Thrombectomy
Minda Li, Jingxuan Jiang, Hongmei Gu, Su Hu, Jingli Wang, Chunhong Hu
American Journal of Neuroradiology Mar 2025, DOI: 10.3174/ajnr.A8522
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