Deep Learning in Ischemic Stroke Imaging Analysis: A Comprehensive Review

Table 3

Overview of documents using deep learning techniques for LVO detection.

References	Study objective	Date published	DL-based approaches	Optimal results	Clinical implications	Limitation
Chatterjee et al. [88]	LVO detection	2019	CNN	Sensitivity (82%), specificity (94%), PPV (77%), and NPV (95%)	The first AI algorithm for detecting intracranial LVOs, improving EVT rates	Difficult to detect anatomic variations such as tortuosity and MCA-M2.
Shaham and R L R [89]	LVO detection	2019	RRCNN	AUC (0.914) for original brain CTA volumes, AUC (0.899) for brain tissue images	Automated detection of AIS with CTA images	Larger number of datasets should be considered to improve the performance of the model.
Yu et al. [91]	LVO detection	2020	DCNN	AUC (0.847)	Automated detection of AIS with CTA images, improving prehospital triage systems	The NCCT brain scans are thick-cut and lack prospective validation and angiogram within the acute setting.
McLouth et al. [92]	LVO detection	2021	CNNs, CINA v1.0 device (Avicenna.ai, La Ciotat, France)	Accuracy (98.1%), sensitivity (98.1%), and specificity (98.2%)	Automated detection of AIS with CTA, improving EVT rates	Not differentiate acute and nonacute LVO etiologies; not evaluate occlusions in the anterior cerebral arteries or posterior circulation.