Category: Digital Surgery and Telemedicine

AI in Surgery: Bridging Expectation and Reality

Surgeons face significant gaps between their expectations of AI interventions and the actual outcomes in the operating room, highlighting challenges in implementation. 57% of surgeons were neutral on the AI’s usefulness; only 37% had a positive outlook. Key concerns included the need for extensive training, difficulties accessing data, and limited predictive capabilities for complications. Minimizing […]

Automated Trauma Video Review Enhances Patient Assessment

A computer vision model could revolutionize trauma video review by automating the identification of key phases and procedures, improving trauma care quality. Achieved 98.3% frame-wise accuracy and high edit and F1 scores (up to 94.5%) for trauma resuscitation phases. Procedure detection accuracy surpassed 66% for x-rays and central line placements. This technology can enhance surgical […]

Predicting Recurrent Bile Duct Stones Post-Exploration

Machine learning effectively predicts recurrent extrahepatic bile duct stones after common bile duct exploration, enhancing surgical decision-making. Random forest model achieved AUCs of 97.99% in training and 83.1% externally, outperforming other methods. Key risk factors include maximum stone diameter, common bile duct diameter, and direct bilirubin, with larger stones (>15 mm) significantly increasing recurrence risk. […]

Augmented Reality Enhances Liver Resection Outcomes

Augmented reality in liver surgery reduces intraoperative bleeding and complications. Blood loss decreased by 75.9 ml (p < 0.001) with AR guidance. Transfusion rates dropped to nearly half (RR: 0.47; p = 0.01); fewer complications (RR: 0.64; p = 0.009). AR-assisted techniques could improve surgical precision and patient outcomes, particularly in tumor cases. Tumor recurrence […]

New AI Model Predicts Cardiac Risks in Surgery

A new deep learning model predicts postoperative cardiac events after noncardiac surgery with high accuracy, improving patient safety. The model showed an AUROC of 0.902 for 30-day major adverse cardiac and cerebrovascular events (MACCE), outperforming traditional methods. Only 0.6% of 165,577 patients experienced MACCE, indicating the model’s focus on high-risk patients may enhance targeting for […]

Machine learning predicts complications in acute cholecystitis

Machine learning tools can now help surgeons assess the risk of postoperative complications in acute calculous cholecystitis patients. Cholesurgrisk I achieved an AUC-ROC of 0.8456, while Cholesurgrisk II, which includes intraoperative data, improved this to 0.8903. A web-based version of Cholesurgrisk I offers real-time, patient-specific risk estimates. Integrating these models into practice could enhance preoperative […]

Predicting Post-Hepatectomy Liver Failure with Machine Learning

A new machine learning model improves prediction of liver failure after major hepatectomy, enhancing surgical decision-making. The pilot model achieved AUCs as high as 0.904, significantly outperforming traditional models (AUCs 0.502-0.644). The model integrates 55 variables, including novel biomarkers, across preoperative, intraoperative, and postoperative datasets. This innovation allows surgeons to identify high-risk patients within hours […]

New Model Reveals Therapeutic Benefits of Chanling Gao in Liver Metastasis

Chanling Gao shows promise in managing liver metastasis from colorectal cancer, a major mortality factor in CRC, opening doors for enhanced treatment strategies. A new AI-driven model predicts prognosis using 11 key genes, improving survival prediction over existing methods. Patients with low-risk scores displayed a “hot tumor” phenotype, indicating better responses to immunotherapy; high-risk patients […]

Innovative 3D Planning Improves Pedicle Screw Surgery

New 3D interaction techniques can enhance preoperative planning for pedicle screw placement, leading to better surgical outcomes. Direct mapping significantly cuts planning time by 20%. Users report a 30% reduction in perceived workload with direct mapping. Surgeons should consider adopting direct mapping methods to streamline preoperative workflows and improve efficiency. Comparison shows these advancements optimize […]

Machine learning stratifies HCC recurrence risk after surgery

A new model predicts recurrence and mortality for hepatocellular carcinoma (HCC) patients post-surgery, enhancing patient management. The Random Survival Forest model identifies high-risk patients, showing a 5-year recurrence rate of 87.3% vs. 51.5% in low-risk patients (training) and 75.9% vs. 64.8% (validation). High-risk patients have a 5-year mortality rate of 56.0% vs. 15.3% (training) and […]