Evidence map›Paper›PMID 40341977›Full record

ArticleAesthetic plastic surgery2025

An Artificial Intelligence Tool Used for Patient Selection in Cosmetic Surgery.

Ruoyu Li, Jian Zheng, Li Xu, Wenran Han, Yonghuan Zhen, Shufan Ji, Yang An

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
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  4. Article
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

7 authors.

Ruoyu Li *Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Jian Zheng *Department of Computer Science, Beihang University, 37 Xueyuan Road, Haidian District, Beijing, 100191, China.
Li XuDepartment of Computer Science, Beihang University, 37 Xueyuan Road, Haidian District, Beijing, 100191, China.
Wenran HanDepartment of Computer Science, Beihang University, 37 Xueyuan Road, Haidian District, Beijing, 100191, China.
Yonghuan ZhenDepartment of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Shufan JiDepartment of Computer Science, Beihang University, 37 Xueyuan Road, Haidian District, Beijing, 100191, China. jishufan@buaa.edu.cn.
Yang AnDepartment of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China. anyangdoctor@163.com.ORCID 0000-0003-3389-4832

Funding

Peking University Third Hospital No.BYSYFY2021005
6 · The paper itself

Abstract

backgroundCosmetic surgery is becoming increasingly popular, but not all patients are suitable candidates. A thorough preoperative assessment and careful patient selection are essential for achieving successful outcomes. Given the challenges plastic surgeons face in conducting psychological assessments, we believe that artificial intelligence (AI) has the potential to assist in this critical task of patient selection.

methodsBased on previous research findings and the expertise of six senior plastic surgeons, we developed an AI-based patient selection tool using the XGBoost algorithm. We then enrolled 37 patients, who were independently evaluated by both the AI system and two senior plastic surgeons. This clinical validation process was designed to assess the accuracy and reliability of the AI tool in identifying suitable candidates for cosmetic surgery.

resultsClinical validation with 37 patients demonstrated a high level of agreement between the AI system and the surgeons in patient assessment and selection. Both the AI and the surgeons agreed that 73% of patients were suitable for surgery, while 27% were not. Quantitatively, there was a strong positive correlation between the AI and the surgeons' assessments, with correlations of r = 0.907 (95% CI = [0.837, 0.949], p < 0.001) for the average surgeon rating, r = 0.909 (95% CI = [0.824, 0.955], p < 0.001) for Surgeon A, and r = 0.879 (95% CI = [0.798, 0.930], p < 0.001) for Surgeon B.

conclusionWe've developed the first smartphone-based AI tool designed to evaluate patients prior to cosmetic surgery. This practical tool enables surgeons to make wise and effective patient selection. The AI tool demonstrated strong performance in our clinical validation. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .

Indexed as

Artificial IntelligencePatient SelectionPlastic Surgery ProceduresSurgery, PlasticAdultAlgorithmsFemaleHumansMaleMiddle AgedReproducibility of ResultsYoung AdultArtificial intelligenceCosmetic surgeryPatient selectionPlastic surgeryXGBoost

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.