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Prognostic Validati...
Prognostic Validation of the NINDS Common Data Elements for the Radiologic Reporting of Acute Traumatic Brain Injuries : A CENTER-TBI Study.
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- Vande Vyvere, Thijs (författare)
- Department of Radiology, University Hospital and University of Antwerp, Antwerp, Belgium; cometrix, Research and Development, Leuven, Belgium
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- De La Rosa, Ezequiel (författare)
- Icometrix, Research and Development, Leuven, Belgium
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- Wilms, Guido (författare)
- Icometrix, Research and Development, Leuven, Belgium; Department of Radiology, University Hospital Leuven and Catholic University of Leuven, Leuven, Belgium
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- Nieboer, Daan (författare)
- Center for Medical Decision Making, Department of Public Health, Erasmus Medical Center, Rotterdam, the Netherlands
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- Steyerberg, Ewout (författare)
- Center for Medical Decision Making, Department of Public Health, Erasmus Medical Center, Rotterdam, the Netherlands; Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands
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- Maas, Andrew I. R. (författare)
- Department of Neurosurgery, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium
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- Verheyden, Jan (författare)
- Icometrix, Research and Development, Leuven, Belgium
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- van den Hauwe, Luc (författare)
- Department of Radiology, University Hospital and University of Antwerp, Antwerp, Belgium
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- Parizel, Paul M. (författare)
- Department of Radiology, University Hospital and University of Antwerp, Antwerp, Belgium
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CENTER-TBI, Participants and Investigators (författare)
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- Oresic, Matej, 1967- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper
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(creator_code:org_t)
- Mary Ann Liebert, 2020
- 2020
- Engelska.
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Ingår i: Journal of Neurotrauma. - : Mary Ann Liebert. - 0897-7151 .- 1557-9042. ; 37:11, s. 1269-1282
- Relaterad länk:
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https://www.liebertp...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- The aim of this study is to investigate the prognostic value of using the National Institute of Neurological Disorders and Stroke (NINDS) standardized imaging-based pathoanatomic descriptors for the evaluation and reporting of acute traumatic brain injury (TBI) lesions. For a total of 3392 patients (2244 males and 1148 females, median age = 51 years) enrolled in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study, we extracted 96 Common Data Elements (CDEs) from the structured reports, spanning all three levels of pathoanatomic information (i.e., 20 "basic," 60 "descriptive," and 16 "advanced" CDE variables per patient). Six-month clinical outcome scores were dichotomized into favorable (Glasgow Outcome Scale Extended [GOS-E] = 5-8) versus unfavorable (GOS-E = 1-4). Regularized logistic regression models were constructed and compared using the optimism-corrected area under the curve (AUC). An abnormality was reported for the majority of patients (64.51%). In 79.11% of those patients, there was at least one coexisting pathoanatomic lesion or associated finding. An increase in lesion severity, laterality, and volume was associated with more unfavorable outcomes. Compared with the full set of pathoanatomic descriptors (i.e., all three categories of information), reporting "basic" CDE information provides at least equal discrimination between patients with favorable versus unfavorable outcome (AUC = 0.8121 vs. 0.8155, respectively). Addition of a selected subset of "descriptive" detail to the basic CDEs could improve outcome prediction (AUC = 0.8248). Addition of "advanced" or "emerging/exploratory" information had minimal prognostic value. Our results show that the NINDS standardized-imaging based pathoanatomic descriptors can be used in large-scale studies and provide important insights into acute TBI lesion patterns. When used in clinical predictive models, they can provide excellent discrimination between patients with favorable and unfavorable 6-month outcomes. If further validated, our findings could support the development of structured and itemized templates in routine clinical radiology.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Common Data Elements
- computed tomography
- structured reporting
- traumatic brain injury
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Vande Vyvere, Th ...
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De La Rosa, Ezeq ...
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Wilms, Guido
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Nieboer, Daan
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Steyerberg, Ewou ...
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Maas, Andrew I. ...
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Verheyden, Jan
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van den Hauwe, L ...
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Parizel, Paul M.
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CENTER-TBI, Part ...
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Oresic, Matej, 1 ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Neurologi
- Artiklar i publikationen
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Journal of Neuro ...
- Av lärosätet
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Örebro universitet
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Karolinska Institutet