Evidence map›Paper›PMID 38183582›Full record

ArticlePituitary2024

Current status of artificial intelligence technologies in pituitary adenoma surgery: a scoping review.

Seyed Farzad Maroufi, Yücel Doğruel, Ahmad Pour-Rashidi, Gurkirat S Kohli, Colson Tomberlin Parker, Tatsuya Uchida, Mohamed Z Asfour, Clara Martin, Mariagrazia Nizzola, Alessandro De Bonis and 4 more

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Pituitary, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

14 authors.

Seyed Farzad MaroufiFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Yücel DoğruelDepartment of Neurosurgery, Yeditepe University School of Medicine, Istanbul, Turkey.
Ahmad Pour-RashidiDepartment of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Gurkirat S KohliDepartment of Neurosurgery, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Colson Tomberlin ParkerSchool of Medicine, University of Louisville, Louisville, KY, USA.
Tatsuya UchidaDepartment of Neurosurgery, Stanford University, Palo Alto, CA, USA.
Mohamed Z AsfourDepartment of Neurosurgery, Nasser Institute for Research and Treatment Hospital, Cairo, Egypt.
Clara MartinDepartment of Neurosurgery, Hospital de Alta Complejidad en Red "El Cruce", Florencio Varela, Buenos Aires, Argentina.
Mariagrazia NizzolaDepartment of Neurosurgery, Mayo Clinic, Rochester, MN, USA.
Alessandro De BonisDepartment of Neurosurgery and Gamma Knife Radiosurgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Mamdouh Tawfik-HelikaDepartment of Neurosurgery, Suez Canal University, Ismailia, Egypt.
Amin TavallaiDepartment of Pediatric Neurosurgery, Children's Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Aaron A Cohen-GadolDepartment of Neurosurgery, Indiana University, Indianapolis, IN, USA.
Paolo PalmiscianoDepartment of Neurological Surgery, University of California, Davis, 4860 Y Street, Suite 3740, Sacramento, CA, 95817, USA. paolo.palmisciano94@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePituitary adenoma surgery is a complex procedure due to critical adjacent neurovascular structures, variations in size and extensions of the lesions, and potential hormonal imbalances. The integration of artificial intelligence (AI) and machine learning (ML) has demonstrated considerable potential in assisting neurosurgeons in decision-making, optimizing surgical outcomes, and providing real-time feedback. This scoping review comprehensively summarizes the current status of AI/ML technologies in pituitary adenoma surgery, highlighting their strengths and limitations.

methodsPubMed, Embase, Web of Science, and Scopus were searched following the PRISMA-ScR guidelines. Studies discussing the use of AI/ML in pituitary adenoma surgery were included. Eligible studies were grouped to analyze the different outcomes of interest of current AI/ML technologies.

resultsAmong the 2438 identified articles, 44 studies met the inclusion criteria, with a total of seventeen different algorithms utilized across all studies. Studies were divided into two groups based on their input type: clinicopathological and imaging input. The four main outcome variables evaluated in the studies included: outcome (remission, recurrence or progression, gross-total resection, vision improvement, and hormonal recovery), complications (CSF leak, readmission, hyponatremia, and hypopituitarism), cost, and adenoma-related factors (aggressiveness, consistency, and Ki-67 labeling) prediction. Three studies focusing on workflow analysis and real-time navigation were discussed separately.

conclusionAI/ML modeling holds promise for improving pituitary adenoma surgery by enhancing preoperative planning and optimizing surgical strategies. However, addressing challenges such as algorithm selection, performance evaluation, data heterogeneity, and ethics is essential to establish robust and reliable ML models that can revolutionize neurosurgical practice and benefit patients.

Indexed as

AdenomaArtificial IntelligencePituitary NeoplasmsHumansMachine LearningArtificial intelligenceNeuro-oncologyPituitary surgerySkull base

Identifiers

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Registered trials

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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.