Keck School of Medicine, University of Southern California, Los Angeles, USA.
Cedars-Sinai Medical Center, Los Angeles, USA.
J Robot Surg. 2024 Mar 1;18(1):102. doi: 10.1007/s11701-024-01867-0.
Artificial intelligence (AI) is revolutionizing nearly every aspect of modern life. In the medical field, robotic surgery is the sector with some of the most innovative and impactful advancements. In this narrative review, we outline recent contributions of AI to the field of robotic surgery with a particular focus on intraoperative enhancement. AI modeling is allowing surgeons to have advanced intraoperative metrics such as force and tactile measurements, enhanced detection of positive surgical margins, and even allowing for the complete automation of certain steps in surgical procedures. AI is also Query revolutionizing the field of surgical education. AI modeling applied to intraoperative surgical video feeds and instrument kinematics data is allowing for the generation of automated skills assessments. AI also shows promise for the generation and delivery of highly specialized intraoperative surgical feedback for training surgeons. Although the adoption and integration of AI show promise in robotic surgery, it raises important, complex ethical questions. Frameworks for thinking through ethical dilemmas raised by AI are outlined in this review. AI enhancements in robotic surgery is some of the most groundbreaking research happening today, and the studies outlined in this review represent some of the most exciting innovations in recent years.
人工智能(AI)正在彻底改变现代生活的几乎各个方面。在医学领域,机器人手术是具有创新性和影响力的领域之一。在这篇叙述性综述中,我们概述了人工智能在机器人手术领域的最新贡献,特别关注术中增强。人工智能建模使外科医生能够获得先进的术中指标,如力和触觉测量、提高对阳性手术边缘的检测,甚至可以实现手术过程中某些步骤的完全自动化。人工智能还彻底改变了外科手术教育领域。将人工智能应用于术中手术视频和器械运动学数据可以生成自动技能评估。人工智能还为培训外科医生提供高度专业化的术中手术反馈生成和传递提供了希望。虽然人工智能在机器人手术中的应用和整合具有广阔的前景,但它也引发了一些重要而复杂的伦理问题。本综述概述了思考人工智能引发的伦理困境的框架。人工智能在机器人手术中的增强是当今最具开创性的研究之一,本综述中概述的研究代表了近年来最令人兴奋的创新之一。