Neuroanesthesia & neurocritical care

Development and validation of intracranial hypertension prediction models based on radiomic features in patients with traumatic brain injury: an exploratory study based on CENTER-TBI data

Crit CarePublished Prediction model development and external validation study

Authors' conclusion

We successfully established a model for predicting intracranial hypertension on the basis of radiomic features.

Study context

Population
Traumatic brain injury (TBI) patients admitted to intensive care unit (ICU) with intracranial pressure (ICP) monitoring; development cohort from CENTER-TBI, validation cohort from Shanghai General Hospital
Comparison
Morphological, first-order, second-order, third-order and comprehensive radiomic models (logistic regression (LR) classifier)
Outcome
Intracranial hypertension (initial recorded ICP ≥20 mmHg) predicted from head computed tomography (CT)
Methodological detailsexploratory, radiomics
  • Exploratory
  • Radiomics

Performance

As reported in the abstract

Prediction of intracranial hypertension, external validation (LR classifier)
Test or modelAUCF1 score
Morphological model0.750.54
First-order model0.770.73
Second-order model0.760.63
Third-order model0.860.72
Comprehensive model0.830.75

AUC

Morphological model0.75
First-order model0.77
Second-order model0.76
Third-order model0.86
Comprehensive model0.83

F1 score

Morphological model0.54
First-order model0.73
Second-order model0.63
Third-order model0.72
Comprehensive model0.75

Original publication

Development and validation of intracranial hypertension prediction models based on radiomic features in patients with traumatic brain injury: an exploratory study based on CENTER-TBI data. Crit Care. Published 6 March 2025. doi:10.1186/s13054-025-05328-4

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