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人工智能时代脑脊液肿瘤的神经外科治疗:一项范围综述

Neurosurgical Management of Cerebrospinal Tumors in the Era of Artificial Intelligence : A Scoping Review.

作者信息

Agadi Kuchalambal, Dominari Asimina, Tebha Sameer Saleem, Mohammadi Asma, Zahid Samina

机构信息

Division of Research and Academic Affairs, Larkin Health System, South Miami, FL, USA.

Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece.

出版信息

J Korean Neurosurg Soc. 2023 Nov;66(6):632-641. doi: 10.3340/jkns.2021.0213. Epub 2022 Jul 14.

Abstract

Central nervous system tumors are identified as tumors of the brain and spinal cord. The associated morbidity and mortality of cerebrospinal tumors are disproportionately high compared to other malignancies. While minimally invasive techniques have initiated a revolution in neurosurgery, artificial intelligence (AI) is expediting it. Our study aims to analyze AI's role in the neurosurgical management of cerebrospinal tumors. We conducted a scoping review using the Arksey and O'Malley framework. Upon screening, data extraction and analysis were focused on exploring all potential implications of AI, classification of these implications in the management of cerebrospinal tumors. AI has enhanced the precision of diagnosis of these tumors, enables surgeons to excise the tumor margins completely, thereby reducing the risk of recurrence, and helps to make a more accurate prediction of the patient's prognosis than the conventional methods. AI also offers real-time training to neurosurgeons using virtual and 3D simulation, thereby increasing their confidence and skills during procedures. In addition, robotics is integrated into neurosurgery and identified to increase patient outcomes by making surgery less invasive. AI, including machine learning, is rigorously considered for its applications in the neurosurgical management of cerebrospinal tumors. This field requires further research focused on areas clinically essential in improving the outcome that is also economically feasible for clinical use. The authors suggest that data analysts and neurosurgeons collaborate to explore the full potential of AI.

摘要

中枢神经系统肿瘤被定义为发生于脑和脊髓的肿瘤。与其他恶性肿瘤相比,脑脊膜肿瘤相关的发病率和死亡率出奇地高。尽管微创技术引发了神经外科领域的一场革命,但人工智能(AI)正在加速这场革命。我们的研究旨在分析人工智能在脑脊膜肿瘤神经外科治疗中的作用。我们使用阿克西和奥马利框架进行了一项范围综述。在筛选过程中,数据提取和分析聚焦于探索人工智能的所有潜在影响,并对这些影响在脑脊膜肿瘤治疗中的作用进行分类。人工智能提高了这些肿瘤诊断的准确性,使外科医生能够完全切除肿瘤边缘,从而降低复发风险,并且与传统方法相比,有助于更准确地预测患者的预后。人工智能还通过虚拟和3D模拟为神经外科医生提供实时培训,从而在手术过程中增强他们的信心和技能。此外,机器人技术已被整合到神经外科手术中,并被认为通过使手术创伤更小来提高患者的治疗效果。包括机器学习在内的人工智能在脑脊膜肿瘤神经外科治疗中的应用受到了严格考量。该领域需要进一步的研究,重点关注在改善治疗效果方面临床必需且在临床应用中经济可行的领域。作者建议数据分析师和神经外科医生合作,以探索人工智能的全部潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c616/10641423/f92d6afe4bc7/jkns-2021-0213f1.jpg

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