|
1
|
Palomba G, Fernicola A, Corte MD, Capuano M, De Palma GD, Aprea G. Artificial intelligence in screening and diagnosis of surgical diseases: A narrative review. AIMS Public Health 2024; 11:557-576. [PMID: 39027395 PMCID: PMC11252578 DOI: 10.3934/publichealth.2024028] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 03/29/2024] [Accepted: 04/02/2024] [Indexed: 07/20/2024] Open
Abstract
Artificial intelligence (AI) is playing an increasing role in several fields of medicine. It is also gaining popularity among surgeons as a valuable screening and diagnostic tool for many conditions such as benign and malignant colorectal, gastric, thyroid, parathyroid, and breast disorders. In the literature, there is no review that groups together the various application domains of AI when it comes to the screening and diagnosis of main surgical diseases. The aim of this review is to describe the use of AI in these settings. We performed a literature review by searching PubMed, Web of Science, Scopus, and Embase for all studies investigating the role of AI in the surgical setting, published between January 01, 2000, and June 30, 2023. Our focus was on randomized controlled trials (RCTs), meta-analysis, systematic reviews, and observational studies, dealing with large cohorts of patients. We then gathered further relevant studies from the reference list of the selected publications. Based on the studies reviewed, it emerges that AI could strongly enhance the screening efficiency, clinical ability, and diagnostic accuracy for several surgical conditions. Some of the future advantages of this technology include implementing, speeding up, and improving the automaticity with which AI recognizes, differentiates, and classifies the various conditions.
Collapse
Affiliation(s)
- Giuseppe Palomba
- Department of Clinical Medicine and Surgery, University of Naples, “Federico II”, Sergio Pansini 5, 80131, Naples, Italy
| | - Agostino Fernicola
- Department of Clinical Medicine and Surgery, University of Naples, “Federico II”, Sergio Pansini 5, 80131, Naples, Italy
| | - Marcello Della Corte
- Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d'Aragona - OO. RR. Scuola Medica Salernitana, Salerno, Italy
| | - Marianna Capuano
- Department of Clinical Medicine and Surgery, University of Naples, “Federico II”, Sergio Pansini 5, 80131, Naples, Italy
| | - Giovanni Domenico De Palma
- Department of Clinical Medicine and Surgery, University of Naples, “Federico II”, Sergio Pansini 5, 80131, Naples, Italy
| | - Giovanni Aprea
- Department of Clinical Medicine and Surgery, University of Naples, “Federico II”, Sergio Pansini 5, 80131, Naples, Italy
| |
Collapse
|
|
2
|
Ali JT, Yang G, Green CA, Reed BL, Madani A, Ponsky TA, Hazey J, Rothenberg SS, Schlachta CM, Oleynikov D, Szoka N. Defining digital surgery: a SAGES white paper. Surg Endosc 2024; 38:475-487. [PMID: 38180541 DOI: 10.1007/s00464-023-10551-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Accepted: 10/17/2023] [Indexed: 01/06/2024]
Abstract
BACKGROUND Digital surgery is a new paradigm within the surgical innovation space that is rapidly advancing and encompasses multiple areas. METHODS This white paper from the SAGES Digital Surgery Working Group outlines the scope of digital surgery, defines key terms, and analyzes the challenges and opportunities surrounding this disruptive technology. RESULTS In its simplest form, digital surgery inserts a computer interface between surgeon and patient. We divide the digital surgery space into the following elements: advanced visualization, enhanced instrumentation, data capture, data analytics with artificial intelligence/machine learning, connectivity via telepresence, and robotic surgical platforms. We will define each area, describe specific terminology, review current advances as well as discuss limitations and opportunities for future growth. CONCLUSION Digital Surgery will continue to evolve and has great potential to bring value to all levels of the healthcare system. The surgical community has an essential role in understanding, developing, and guiding this emerging field.
Collapse
Affiliation(s)
- Jawad T Ali
- University of Texas at Austin, Austin, TX, USA
| | - Gene Yang
- University at Buffalo, Buffalo, NY, USA
| | | | | | - Amin Madani
- University of Toronto, Toronto, ON, Canada
- Surgical Artificial Intelligence Research Academy, University Health Network, Toronto, ON, Canada
| | - Todd A Ponsky
- Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | | | | | | | - Dmitry Oleynikov
- Monmouth Medical Center, Robert Wood Johnson Barnabas Health, Rutgers School of Medicine, Long Branch, NJ, USA
| | - Nova Szoka
- Department of Surgery, West Virginia University, Suite 7500 HSS, PO Box 9238, Morgantown, WV, 26506-9238, USA.
| |
Collapse
|
|
3
|
Cobianchi L, Piccolo D, Dal Mas F, Agnoletti V, Ansaloni L, Balch J, Biffl W, Butturini G, Catena F, Coccolini F, Denicolai S, De Simone B, Frigerio I, Fugazzola P, Marseglia G, Marseglia GR, Martellucci J, Modenese M, Previtali P, Ruta F, Venturi A, Kaafarani HM, Loftus TJ. Surgeons' perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey. World J Emerg Surg 2023; 18:1. [PMID: 36597105 PMCID: PMC9811693 DOI: 10.1186/s13017-022-00467-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 11/28/2022] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Artificial intelligence (AI) is gaining traction in medicine and surgery. AI-based applications can offer tools to examine high-volume data to inform predictive analytics that supports complex decision-making processes. Time-sensitive trauma and emergency contexts are often challenging. The study aims to investigate trauma and emergency surgeons' knowledge and perception of using AI-based tools in clinical decision-making processes. METHODS An online survey grounded on literature regarding AI-enabled surgical decision-making aids was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was advertised to 917 WSES members through the society's website and Twitter profile. RESULTS 650 surgeons from 71 countries in five continents participated in the survey. Results depict the presence of technology enthusiasts and skeptics and surgeons' preference toward more classical decision-making aids like clinical guidelines, traditional training, and the support of their multidisciplinary colleagues. A lack of knowledge about several AI-related aspects emerges and is associated with mistrust. DISCUSSION The trauma and emergency surgical community is divided into those who firmly believe in the potential of AI and those who do not understand or trust AI-enabled surgical decision-making aids. Academic societies and surgical training programs should promote a foundational, working knowledge of clinical AI.
Collapse
Affiliation(s)
- Lorenzo Cobianchi
- Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy.
- General Surgery, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
- ITIR - Institute for Transformative Innovation Research, University of Pavia, Pavia, Italy.
| | - Daniele Piccolo
- Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy
- Department of Neurosurgery, ASUFC Santa Maria Della Misericordia, Udine, Italy
| | - Francesca Dal Mas
- Department of Management, Ca' Foscari University of Venice, Venice, Italy
| | | | - Luca Ansaloni
- Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy
- General Surgery, IRCCS Policlinico San Matteo Foundation, Pavia, Italy
| | - Jeremy Balch
- Department of Surgery, University of Florida Health, Gainesville, FL, USA
| | - Walter Biffl
- Division of Trauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA
| | - Giovanni Butturini
- Department of HPB Surgery, Pederzoli Hospital, Peschiera del Garda, Italy
| | | | - Federico Coccolini
- General, Emergency and Trauma Surgery Department, Pisa University Hospital Pisa, Pisa, Italy
| | - Stefano Denicolai
- ITIR - Institute for Transformative Innovation Research, University of Pavia, Pavia, Italy
- Department of Economics and Management, University of Pavia, Pavia, Italy
| | - Belinda De Simone
- Department of Emergency, Digestive and Metabolic Minimally Invasive Surgery, Poissy and Saint Germain en Laye Hospitals, Poissy, France
| | - Isabella Frigerio
- Department of HPB Surgery, Pederzoli Hospital, Peschiera del Garda, Italy
| | - Paola Fugazzola
- Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy
- General Surgery, IRCCS Policlinico San Matteo Foundation, Pavia, Italy
| | - Gianluigi Marseglia
- Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy
- IRCCS Policlinico San Matteo Foundation, Pediatric Clinic., Pavia, Italy
| | | | | | | | - Pietro Previtali
- ITIR - Institute for Transformative Innovation Research, University of Pavia, Pavia, Italy
- Department of Economics and Management, University of Pavia, Pavia, Italy
| | - Federico Ruta
- General Direction, ASL BAT (Health Agency), Andria, Italy
| | - Alessandro Venturi
- ITIR - Institute for Transformative Innovation Research, University of Pavia, Pavia, Italy
- Department of Political and Social Sciences, University of Pavia, Pavia, Italy
- Bureau of the Presidency, IRCCS Policlinico San Matteo Foundation, Pavia, Italy
| | - Haytham M Kaafarani
- Harvard Medical School, Boston, MA, USA
- Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA, USA
| | - Tyler J Loftus
- Department of Surgery, University of Florida Health, Gainesville, FL, USA
| |
Collapse
|
|
4
|
Binkley CE, Reynolds JM, Shuman A. From the Eyeball Test to the Algorithm - Quality of Life, Disability Status, and Clinical Decision Making in Surgery. N Engl J Med 2022; 387:1325-1328. [PMID: 36198184 DOI: 10.1056/nejmms2207408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Charles E Binkley
- From the Department of Bioethics, Hackensack Meridian Health, Edison, and the Department of Surgery, Hackensack Meridian School of Medicine, Nutley - both in NJ (C.E.B.), and Markkula Center for Applied Ethics at Santa Clara University, Santa Clara, CA (C.E.B.); the Department of Philosophy and the Kennedy Institute of Ethics, Georgetown University, Washington, DC (J.M.R.); the Hastings Center, Garrison, and the Greenwall Foundation - both in New York (J.M.R.); and the Center for Bioethics and Social Sciences in Medicine and the Department of Otolaryngology - Head and Neck Surgery, University of Michigan Medical School, Ann Arbor (A.S.)
| | - Joel Michael Reynolds
- From the Department of Bioethics, Hackensack Meridian Health, Edison, and the Department of Surgery, Hackensack Meridian School of Medicine, Nutley - both in NJ (C.E.B.), and Markkula Center for Applied Ethics at Santa Clara University, Santa Clara, CA (C.E.B.); the Department of Philosophy and the Kennedy Institute of Ethics, Georgetown University, Washington, DC (J.M.R.); the Hastings Center, Garrison, and the Greenwall Foundation - both in New York (J.M.R.); and the Center for Bioethics and Social Sciences in Medicine and the Department of Otolaryngology - Head and Neck Surgery, University of Michigan Medical School, Ann Arbor (A.S.)
| | - Andrew Shuman
- From the Department of Bioethics, Hackensack Meridian Health, Edison, and the Department of Surgery, Hackensack Meridian School of Medicine, Nutley - both in NJ (C.E.B.), and Markkula Center for Applied Ethics at Santa Clara University, Santa Clara, CA (C.E.B.); the Department of Philosophy and the Kennedy Institute of Ethics, Georgetown University, Washington, DC (J.M.R.); the Hastings Center, Garrison, and the Greenwall Foundation - both in New York (J.M.R.); and the Center for Bioethics and Social Sciences in Medicine and the Department of Otolaryngology - Head and Neck Surgery, University of Michigan Medical School, Ann Arbor (A.S.)
| |
Collapse
|