Using fractal dimension to predict the risk of intra cranial aneurysm rupture with machine learning

Intracranial aneurysms (IAs) that rupture result in significant morbidity and mortality. While traditional risk models such as the PHASES score are useful in clinical decision making, machine learning (ML) models offer the potential to provide more accuracy. In this study, we compared the performance of four different machine learning algorithms Random Forest (RF), XGBoost (XGB), Support Vector Machine (SVM), and Multi Layer Perceptron (MLP) on clinical and radiographic features to predict rupture status of intracranial aneurysms. Among the models, RF achieved the highest accuracy (85%) with balanced precision and recall, while MLP had the lowest overall performance (accuracy of 63%). Fractal dimension ranked as the most important feature for model performance across all models.