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Multimodal machine learning for early risk stratification of post-stroke cognitive impairment - PubMed

an hour ago
  • #stroke
  • #cognitive impairment
  • #machine learning
  • Post-stroke cognitive impairment (PSCI) is a major vascular contributor to dementia, affecting recovery and quality of life.
  • A stacking-based multimodal machine learning model integrating clinical, demographic, and neuroimaging features was developed for early PSCI prediction in acute ischemic stroke patients.
  • The study involved 1070 patients, with 37.2% developing PSCI. The model achieved high internal validation accuracy (98.13%) and good external validation results (81.00% accuracy).
  • Key predictors included infarct volume, cortical lesions, medial temporal lobe atrophy, and baseline NIHSS score.
  • The model serves as a reliable tool for early detection, supporting personalized intervention strategies to prevent progression to post-stroke dementia.