Evidence map›Paper›PMID 37697116›Full record

ArticleSurgical endoscopy2023

What is the educational value and clinical utility of artificial intelligence for intraoperative and postoperative video analysis? A survey of surgeons and trainees.

M Saif Hameed, Simon Laplante, Caterina Masino, Muhammad Uzair Khalid, Haochi Zhang, Sergey Protserov, Jaryd Hunter, Pouria Mashouri, Andras B Fecso, Michael Brudno and 1 more

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Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

11 authors.

M Saif HameedSurgical Artificial Intelligence Research Academy, University Health Network, 81 Baldwin Street, Toronto, ON, M5T 1L5, Canada. drsaifpatel29@gmail.com.ORCID 0000-0001-8476-8540
Simon LaplanteSurgical Artificial Intelligence Research Academy, University Health Network, 81 Baldwin Street, Toronto, ON, M5T 1L5, Canada.
Caterina MasinoSurgical Artificial Intelligence Research Academy, University Health Network, 81 Baldwin Street, Toronto, ON, M5T 1L5, Canada.
Muhammad Uzair KhalidSurgical Artificial Intelligence Research Academy, University Health Network, 81 Baldwin Street, Toronto, ON, M5T 1L5, Canada.
Haochi ZhangDATA Team, University Health Network, Toronto, ON, Canada.
Sergey ProtserovDATA Team, University Health Network, Toronto, ON, Canada.
Jaryd HunterDATA Team, University Health Network, Toronto, ON, Canada.
Pouria MashouriDATA Team, University Health Network, Toronto, ON, Canada.
Andras B FecsoSurgical Artificial Intelligence Research Academy, University Health Network, 81 Baldwin Street, Toronto, ON, M5T 1L5, Canada.
Michael BrudnoDATA Team, University Health Network, Toronto, ON, Canada.
Amin MadaniSurgical Artificial Intelligence Research Academy, University Health Network, 81 Baldwin Street, Toronto, ON, M5T 1L5, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical complications often occur due to lapses in judgment and decision-making. Advances in artificial intelligence (AI) have made it possible to train algorithms that identify anatomy and interpret the surgical field. These algorithms can potentially be used for intraoperative decision-support and postoperative video analysis and feedback. Despite the very early success of proof-of-concept algorithms, it remains unknown whether this innovation meets the needs of end-users or how best to deploy it. This study explores users' opinion on the value, usability and design for adapting AI in operating rooms.

methodsA device-agnostic web-accessible software was developed to provide AI inference either (1) intraoperatively on a live video stream (synchronous mode), or (2) on an uploaded video or image file (asynchronous mode) postoperatively for feedback. A validated AI model (GoNoGoNet), which identifies safe and dangerous zones of dissection during laparoscopic cholecystectomy, was used as the use case. Surgeons and trainees performing laparoscopic cholecystectomy interacted with the AI platform and completed a 5-point Likert scale survey to evaluate the educational value, usability and design of the platform.

resultsTwenty participants (11 surgeons and 9 trainees) evaluated the platform intraoperatively (n = 10) and postoperatively (n = 11). The majority agreed or strongly agreed that AI is an effective adjunct to surgical training (81%; neutral = 10%), effective for providing real-time feedback (70%; neutral = 20%), postoperative feedback (73%; neutral = 27%), and capable of improving surgeon confidence (67%; neutral = 29%). Only 40% (neutral = 50%) and 57% (neutral = 43%) believe that the tool is effective in improving intraoperative decisions and performance, or beneficial for patient care, respectively. Overall, 38% (neutral = 43%) reported they would use this platform consistently if available. The majority agreed or strongly agreed that the platform was easy to use (81%; neutral = 14%) and has acceptable resolution (62%; neutral = 24%), while 30% (neutral = 20%) reported that it disrupted the OR workflow, and 20% (neutral = 0%) reported significant time lag. All respondents reported that such a system should be available "on-demand" to turn on/off at their discretion.

conclusionsMost found AI to be a useful tool for providing support and feedback to surgeons, despite several implementation obstacles. The study findings will inform the future design and usability of this technology in order to optimize its clinical impact and adoption by end-users.

Indexed as

Artificial IntelligenceSurgeonsAlgorithmsEducational StatusHumansSoftwareArtificial intelligenceComputer visionDeep learningLaparoscopic cholecystectomyMachine learningPatient safety

Identifiers

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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.