Category: Digital Surgery and Telemedicine

Machine learning and deep learning in hernia surgery

Machine learning and deep learning technologies are increasingly utilized in hernia surgery, showing promise in predicting outcomes and identifying factors associated with postoperative complications. Thirteen studies from 2020 to 2023 were included, focusing on inguinal, ventral, and incisional hernias. These studies varied in population, types of models used, and outcomes predicted, showcasing the potential of […]

Machine Learning Model for Prediction of Permanent Stoma after Anterior Resection of Rectal Cancer

Retrospective study develops a machine learning model to predict permanent stoma formation post rectal cancer surgery. Utilizing support vector machine algorithm, the model shows high accuracy (AUC: 0.854) in training, testing, and external validation sets, aiding in preoperative patient stratification and personalized treatment plans. Results offer a practical tool for clinicians to enhance patient outcomes […]

Real-time Detection of Active Bleeding in Laparoscopic Colectomy using AI

Developing a real-time AI model to detect active intraoperative bleeding, this study achieved an average precision of 0.574 for active bleeding and 48.5 frames per second. Surgeons rated the sensitivity and overdetection areas of the model highly, indicating its potential to improve surgical outcomes by providing real-time support in laparoscopic colectomy. The AI model can […]

Effectiveness of Virtual Care in a Multidisciplinary Bariatric Program

Transition to virtual care in a bariatric program saw significant increase in virtual visits, with high patient satisfaction rates. Patient preferences varied by healthcare providers, with most patients preferring in-person visits with medical doctors. Despite the preference, virtual care offers added benefits and high satisfaction rates. The study highlights the importance of a hybrid model […]

Advancing Surgical Performance Assessment Through Digital Metrics

Surgeons evaluated 81 studies on digital metrics for nontechnical skills, highlighting diverse objective measures for cognitive load, situation awareness, and communication. Surgical sabermetrics, using sensors, offers promising outcomes for performance optimization. Gaps remain in assessing decision-making objectively. Future integration of physiological sensors could enhance holistic surgical performance evaluation and patient safety. Research Support, Non-U.S. Gov’t […]

Deep Learning Improves Prediction of Response to Neoadjuvant Chemotherapy in Colorectal Liver Metastasis

Deep learning models applied to prechemotherapy imaging accurately predict response to neoadjuvant chemotherapy in colorectal cancer liver metastases, outperforming clinical models. A study on 95 patients found the deep learning model had an AUC of 0.77, superior to the clinical model’s AUC of 0.41, showing potential to identify nonresponders and guide patient management towards curative […]

OR Black Box: A Game-Changer for Patient Safety and Training

Operating room black box technology allows for real-time monitoring of surgical procedures, improving transparency, and identifying areas for skill improvement. It enhances patient safety by providing a comprehensive analysis of clinical and non-clinical performances, offering a holistic view of intraoperative events. This innovative tool serves as a valuable teaching aid in surgical training, addressing limitations […]

Deep Learning Algorithm for Abdominal Trauma Diagnosis on CT Imaging

Deep learning algorithms demonstrate high accuracy in detecting renal, liver, and spleen injuries on abdominal CT scans. With a notable performance in renal injury detection (accuracy: 0.932), the model exhibits potential for rapid preliminary screening and adjunctive diagnosis of traumatic abdominal injuries. The results suggest promising applicability in emergency settings, aiding clinicians in timely and […]

Machine Learning Prediction of Liver and Lung Metastasis in Colorectal Cancer

Using a machine learning model, researchers accurately predicted liver and/or lung metastasis in colorectal cancer patients, assisting clinical decision-making. A total of 51,265 patients were analyzed, with 15.3% having distant metastasis. The random forest algorithm showed the best predictive ability with high accuracy, AUC, and AUPR values, validated in an external set, providing a valuable […]

Risk Factors Analysis for Motorcycle Crashes in Barcelona

Alcoholism, poor road conditions, and speeding contribute to severe injuries in motorcycle crashes in Barcelona. Elderly riders are less at risk, while those aged 25-40 face higher odds of injury. Both supervised and unsupervised techniques effectively identify these risk factors, emphasizing the need for enhanced road maintenance and speed enforcement to improve motorcyclists’ safety. Journal […]