Risk Prediction of Cardioembolic Stroke using Clinical Data and Non-contrast CT

Pasit Jakkrawankul, C. Chunharas, Wasan Akarathanawat, P. Vorasayan, Sedthapong Chunamchai, Ploy N. Pratanwanich, P. Punyabukkana, E. Chuangsuwanich
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Abstract

Cardioembolic stroke is a dangerous subtype of ischemic stroke. Patients with this subtype need special treatments to prevent recurrent events that might be fatal. Thus, identifying underlying stroke categories between cardioembolic and non-cardioembolic subtypes is of great importance. We propose a multimodal machine learning model that takes into account basic clinical information and non-contrast computed tomography (CT) images to predict the risk of cardioembolic stroke. The clinical information is not only used to provide additional information for the classification model but also to guide the attention module to extract better image features. Our model achieves a score of 0.840 using the area under the receiver operating characteristic curve (ROC-AUC) metric. Besides the capability to classify the stroke subtypes, the method can provide a heatmap for large infarct localization, which is crucial for stroke diagnosis.
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利用临床数据和非对比CT预测心栓塞性卒中的风险
心源性中风是缺血性中风的一种危险亚型。这种亚型的患者需要特殊治疗,以防止可能致命的复发事件。因此,在心源性和非心源性亚型之间识别潜在的卒中类别是非常重要的。我们提出了一种多模态机器学习模型,该模型考虑了基本临床信息和非对比计算机断层扫描(CT)图像来预测心脏栓塞性中风的风险。临床信息不仅可以为分类模型提供额外的信息,还可以指导注意模块提取更好的图像特征。我们的模型使用接收者工作特征曲线(ROC-AUC)度量下的面积达到0.840分。除了能够对脑卒中亚型进行分类外,该方法还可以提供大梗死灶定位的热图,这对脑卒中诊断至关重要。
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