Post-stroke outcome prediction based on lesion-derived features.

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Tác giả: Ardalan Aarabi, Olivier Godefroy, Maedeh Khalilian, Amir Mousavi, Martine Roussel

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: Netherlands : NeuroImage. Clinical , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 709987

Stroke-induced deficits result from both focal structural damage and widespread network disruption. This study investigated whether simulated measures of network disruption, derived from structural lesions, could predict functional impairments in stroke patients. We extracted four lesion-derived feature sets: lesion masks, probabilistic structural disconnection maps (pSDMs), structural and indirectly estimated functional connectivity strengths between brain regions, and topological properties of functional and structural brain networks to predict motor, executive, and processing speed deficits in 340 S patients, employing PCA-based ridge regression with leave-one-out cross validation. The findings revealed that both structural disconnection map patterns and lesion masks were strong predictors of functional deficits. Lesion masks exhibited superior predictive performance relative to unthresholded pSDMs. Furthermore, applying a probability threshold to the pSDMs - retaining only disconnections present in a sufficient proportion of healthy subjects - significantly improved predictive performance. For motor deficits, thresholded SDMs (tSDMs) with thresholds of 0.9 and 0.5 produced the highest R
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