Enodien Bassey, Taha-Mehlitz Stephanie, Saad Baraa, Nasser Maya, Frey Daniel M, Taha Anas
Department of Surgery, GZO-Hospital, Wetzikon, Switzerland.
Clarunis, University Centre for Gastrointestinal and Liver Diseases, St. Clara Hospital and University Hospital, Basel, Switzerland.
Front Surg. 2023 Feb 24;10:1102711. doi: 10.3389/fsurg.2023.1102711. eCollection 2023.
Machine learning (ML), is an approach to data analysis that makes the process of analytical model building automatic. The significance of ML stems from its potential to evaluate big data and achieve quicker and more accurate outcomes. ML has recently witnessed increased adoption in the medical domain. Bariatric surgery, otherwise referred to as weight loss surgery, reflects the series of procedures performed on people demonstrating obesity. This systematic scoping review aims to explore the development of ML in bariatric surgery.
The study used the Preferred Reporting Items for Systematic and Meta-analyses for Scoping Review (PRISMA-ScR). A comprehensive literature search was performed of several databases including PubMed, Cochrane, and IEEE, and search engines namely Google Scholar. Eligible studies included journals published from 2016 to the current date. The PRESS checklist was used to evaluate the consistency demonstrated during the process.
A total of seventeen articles qualified for inclusion in the study. Out of the included studies, sixteen concentrated on the role of ML algorithms in prediction, while one addressed ML's diagnostic capacity. Most articles ( = 15) were journal publications, whereas the rest ( = 2) were papers from conference proceedings. Most included reports were from the United States ( = 6). Most studies addressed neural networks, with convolutional neural networks as the most prevalent. Also, the data type used in most articles ( = 13) was derived from hospital databases, with very few articles ( = 4) collecting original data observation.
This study indicates that ML has numerous benefits in bariatric surgery, however its current application is limited. The evidence suggests that bariatric surgeons can benefit from ML algorithms since they will facilitate the prediction and evaluation of patient outcomes. Also, ML approaches to enhance work processes by making data categorization and analysis easier. However, further large multicenter studies are required to validate results internally and externally as well as explore and address limitations of ML application in bariatric surgery.
机器学习(ML)是一种数据分析方法,可使分析模型构建过程自动化。ML的重要性源于其评估大数据并实现更快、更准确结果的潜力。近年来,ML在医学领域的应用日益广泛。减重手术,也称为减肥手术,是指对肥胖患者进行的一系列手术。本系统综述旨在探讨ML在减重手术中的发展情况。
本研究采用系统综述和范围综述的首选报告项目(PRISMA-ScR)。对包括PubMed、Cochrane和IEEE在内的多个数据库以及谷歌学术搜索引擎进行了全面的文献检索。符合条件的研究包括2016年至今发表的期刊。使用PRESS清单评估过程中显示的一致性。
共有17篇文章符合纳入本研究的条件。在纳入的研究中,16篇集中于ML算法在预测中的作用,而1篇涉及ML的诊断能力。大多数文章(n = 15)是期刊出版物,其余(n = 2)是会议论文集的论文。大多数纳入报告来自美国(n = 6)。大多数研究涉及神经网络,其中卷积神经网络最为普遍。此外,大多数文章(n = 13)使用的数据类型来自医院数据库,很少有文章(n = 4)收集原始数据观察。
本研究表明,ML在减重手术中有诸多益处,但其目前的应用有限。证据表明,减重外科医生可以从ML算法中受益,因为它们将有助于预测和评估患者的预后。此外,ML方法通过使数据分类和分析更容易来提高工作流程。然而,需要进一步的大型多中心研究来在内部和外部验证结果,并探索和解决ML在减重手术中应用的局限性。