4.6 Article

Executive summary of the artificial intelligence in surgery series

Journal

SURGERY
Volume 171, Issue 5, Pages 1435-1439

Publisher

MOSBY-ELSEVIER
DOI: 10.1016/j.surg.2021.10.047

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Funding

  1. National Institute of General Medical Sciences of the National Institutes of Health [K23 GM140268]
  2. Edwards Lifesciences
  3. National Institute of Biomedical Imaging and Bioengineering of the National Institutes of Health [K23 EB026493]
  4. Intuitive Surgical Clinical Research Grant
  5. National Institute of General Medical Sciences [R01 GM110240, R01 GM114290]
  6. Olympus Corporation and Intuitive Foundation
  7. CRICO
  8. National Institute on Aging [R01 AG121647]

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As opportunities for artificial intelligence to augment surgical care expand, there is both enthusiasm and concern regarding its safety and efficacy. Surgeons and surgical data scientists must understand the state-of-the-art, recognize gaps in knowledge and technology, and critically evaluate the published literature.
As opportunities for artificial intelligence to augment surgical care expand, the accompanying surge in published literature has generated both substantial enthusiasm and grave concern regarding the safety and efficacy of artificial intelligence in surgery. For surgeons and surgical data scientists, it is increasingly important to understand the state-of-the-art, recognize knowledge and technology gaps, and critically evaluate the deluge of literature accordingly. This article summarizes the experiences and perspectives of a global, multi-disciplinary group of experts who have faced development and implementation challenges, overcome them, and produced incipient evidence thereof. Collectively, evidence suggests that artificial intelligence has the potential to augment surgeons via decision-support, technical skill assessment, and the semi-autonomous performance of tasks ranging from resource allocation to patching foregut defects. Most applications remain in preclinical phases. As technologies and their implementations improve and positive evidence accumulates, surgeons will face professional imperatives to lead the safe, effective clinical implementation of artificial intelligence in surgery. Substantial challenges remain; recent progress in using artificial intelligence to achieve performance advantages in surgery suggests that remaining challenges can and will be overcome. (C) 2021 Elsevier Inc. All rights reserved.

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