Evidence map›Paper›PMID 39724499›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Anatomical recognition of dissection layers, nerves, vas deferens, and microvessels using artificial intelligence during transabdominal preperitoneal inguinal hernia repair.

Kazuhito Mita, Nao Kobayashi, Kunihiko Takahashi, Takashi Sakai, Mayu Shimaguchi, Michitaka Kouno, Naoyuki Toyota, Minoru Hatano, Tsuyoshi Toyota, Junichi Sasaki

Abstract read
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 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

10 authors.

Kazuhito MitaDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan. kazumitatantan@yahoo.co.jp.ORCID 0000-0002-1516-8442
Nao KobayashiDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.
Kunihiko TakahashiDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.
Takashi SakaiDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.
Mayu ShimaguchiDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.
Michitaka KounoDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.
Naoyuki ToyotaDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.
Minoru HatanoDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.
Tsuyoshi ToyotaDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.
Junichi SasakiDepartment of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn laparoscopic inguinal hernia surgery, proper recognition of loose connective tissue, nerves, vas deferens, and microvessels is important to prevent postoperative complications, such as recurrence, pain, sexual dysfunction, and bleeding. EUREKA (Anaut Inc., Tokyo, Japan) is a system that uses artificial intelligence (AI) for anatomical recognition. This system can intraoperatively confirm the aforementioned anatomical landmarks. In this study, we validated the accuracy of EUREKA in recognizing dissection layers, nerves, vas deferens, and microvessels during transabdominal preperitoneal inguinal hernia repair (TAPP).

methodsWe used TAPP videos to compare EUREKA's recognition of loose connective tissue, nerves, vas deferens, and microvessels with the original surgical video and examined whether EUREKA accurately identified these structures. Intersection over Union (IoU) and F1/Dice scores were calculated to quantitively evaluate AI predictive images.

resultsThe mean IoU and F1/Dice scores were 0.33 and 0.50 for connective tissue, 0.24 and 0.38 for nerves, 0.50 and 0.66 for the vas deferens, and 0.30 and 0.45 for microvessels, respectively. Compared with the images without EUREKA visualization, dissection layers were very clearly recognized and displayed when appropriate tension was applied.

Indexed as

Artificial IntelligenceHernia, InguinalHerniorrhaphyMicrovesselsVas DeferensAnatomic LandmarksConnective TissueDissectionHumansLaparoscopyMaleAnatomical recognitionArtificial intelligenceNavigationTransabdominal preperitoneal inguinal hernia repair (TAPP)

Identifiers

PMID39724499
PMCPMC11671561

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LicenceCC BY-NC-ND
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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.