Category: Digital Surgery and Telemedicine

Deep learning algorithm excels in kidney trauma detection

A deep learning model, RenotrNet, demonstrated high accuracy in detecting kidney trauma on CT scans, achieving 0.88 accuracy in internal testing and 0.93 in external validation with RSNA data. The model showed robust performance metrics, including 0.75 sensitivity and 0.95 specificity internally, and 0.73 sensitivity and 0.94 specificity externally. Its high negative predictive value of […]

Predictive model identifies factors for ERCP post-cholecystectomy

A machine learning-based predictive model has been developed to estimate the incidence of endoscopic retrograde cholangiopancreatography (ERCP) after emergency laparoscopic cholecystectomy. Analyzing data from 8,854 patients, the model revealed a postoperative ERCP incidence of 5.7% in training and 6.4% in testing datasets. The gradient-boosting decision tree model excelled, with common bile duct dilatation, serum albumin, […]

3D surgical videos enhance student preparedness despite lower knowledge retention.

A randomized controlled trial with 231 medical students found that while 3D immersive videos led to lower immediate knowledge retention compared to 2D videos, they significantly improved expected preparedness, satisfaction, and self-confidence after one month. Participants using 3D video reported feeling more engaged, better able to identify anatomical structures, and less overwhelmed. These findings suggest […]

DCNN Model Enhances Early Gastric Cancer Diagnosis

A study established a deep convolutional neural network (DCNN) system that significantly improved diagnostic accuracy for early gastric cancer (EGC). In independent tests, the model achieved an area under the curve (AUC) of 0.917 and sensitivity of 93.38% for image datasets, while video tests showed an AUC of 0.930 and 96.92% sensitivity. Novice endoscopists reached […]

AI Models Accurately Predict Lymph Node Metastasis in Colorectal Cancer

Artificial intelligence models demonstrated significant predictive capability for lymph node metastasis (LNM) in patients with T1 colorectal cancer, outperforming guideline-recommended metrics. Among 1,386 analyzed patients, 12.5% exhibited LNM, with AUROC values of models including regularized logistic regression classifier (0.673) and catboost classifier (0.679) surpassing the expected 0.525. These findings suggest AI integration could enhance surgical […]

AI and robotics enhance surgical precision and outcomes.

AI and robotic technologies are transforming surgical practices by enhancing precision, reducing errors, and improving patient outcomes. The systematic review synthesizes recent studies across various specialties, showcasing breakthroughs in imaging, data analysis, and automated instruments. Results indicate significant advancements in decision-making and personalized treatment strategies. However, challenges such as costs, ethical issues, and training requirements […]

AI Model Enhances Prediction of Perineural Invasion in Pancreatic Cancer

An advanced AI model utilizing computed tomography can predict extrapancreatic perineural invasion (epni) in pancreatic ductal adenocarcinoma (PDAC) patients. Analyzing data from 1,065 patients, the model achieved an area under the curve of 0.87 to 0.83 across different validation sets. Furthermore, survival analysis confirmed significantly better outcomes for patients predicted to be epni-negative. With its […]

AI coaching enhances performance in laparoscopic cholecystectomy

An AI-assisted coaching program significantly improved novice surgeons’ performance in laparoscopic cholecystectomy, raising evaluation scores from 31 to 40 (p=0.008) and surpassing self-learning group scores by the study’s end (40 vs. 38, p=0.032). The coaching group also achieved a notable increase in the critical view of safety, from 11% to 78% (p=0.021). Participants expressed high […]

Automated Deep Learning Framework Enhances Pelvimetry Accuracy

A novel automated pelvimetry approach using deep learning shows promise in analyzing pelvic dimensions from MRI for total mesorectal excision (TME) difficulty assessment. The framework employs a 3D U-Net to precisely localize anatomical landmarks, achieving a mean localization error of 5.6 mm and demonstrating strong correlations (0.7 to 0.87) between automated and manual measurements. This […]

Predictive model enhances early diagnosis of gangrenous cholecystitis

A novel machine learning model has been developed to predict gangrenous cholecystitis, utilizing clinical data from 1006 patients. Employing the XGBoost algorithm and SHAP for interpretability, key clinical features were identified, including white blood cell count and d-dimer levels. This explainable model aims to assist clinicians in making timely surgical decisions, thereby potentially improving patient […]