Evidence map›Paper›PMID 35945894›Full record

SynthesisThe British journal of surgery2022

Present and future of machine learning in breast surgery: systematic review.

Chien Lin Soh, Viraj Shah, Arian Arjomandi Rad, Robert Vardanyan, Alina Zubarevich, Saeed Torabi, Alexander Weymann, George Miller, Johann Malawana

Abstract readSystematic Review
In one paragraph

Synthesis in The British journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Article
  9. Article
  10. Review
  11. The ethical considerations of integrating artificial intelligence into surgery: a review.Interdisciplinary cardiovascular and thoracic surgery · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chien Lin SohSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Viraj ShahDepartment of Medicine, Faculty of Medicine, Imperial College London, London, UK.
Arian Arjomandi RadDepartment of Medicine, Faculty of Medicine, Imperial College London, London, UK.ORCID 0000-0002-4931-4049
Robert VardanyanDepartment of Medicine, Faculty of Medicine, Imperial College London, London, UK.
Alina ZubarevichDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center Essen, University Hospital of Essen, University Duisburg-Essen, Essen, Germany.ORCID 0000-0002-2444-5747
Saeed TorabiDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany.
Alexander WeymannDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center Essen, University Hospital of Essen, University Duisburg-Essen, Essen, Germany.ORCID 0000-0003-2966-6159
George MillerResearch Unit, The Healthcare Leadership Academy, London, UK.
Johann MalawanaResearch Unit, The Healthcare Leadership Academy, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMachine learning is a set of models and methods that can automatically detect patterns in vast amounts of data, extract information, and use it to perform decision-making under uncertain conditions. The potential of machine learning is significant, and breast surgeons must strive to be informed with up-to-date knowledge and its applications.

methodsA systematic database search of Embase, MEDLINE, the Cochrane database, and Google Scholar, from inception to December 2021, was conducted of original articles that explored the use of machine learning and/or artificial intelligence in breast surgery in EMBASE, MEDLINE, Cochrane database and Google Scholar.

resultsThe search yielded 477 articles, of which 14 studies were included in this review, featuring 73 847 patients. Four main areas of machine learning application were identified: predictive modelling of surgical outcomes; breast imaging-based context; screening and triaging of patients with breast cancer; and as network utility for detection. There is evident value of machine learning in preoperative planning and in providing information for surgery both in a cancer and an aesthetic context. Machine learning outperformed traditional statistical modelling in all studies for predicting mortality, morbidity, and quality of life outcomes. Machine learning patterns and associations could support planning, anatomical visualization, and surgical navigation.

conclusionMachine learning demonstrated promising applications for improving breast surgery outcomes and patient-centred care. Neveretheless, there remain important limitations and ethical concerns relating to implementing artificial intelligence into everyday surgical practices.

Indexed as

Artificial IntelligenceBreast NeoplasmsDatabases, FactualFemaleHumansMachine LearningQuality of Life

Identifiers

PMID35945894
PMCPMC10364755

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.