Evidence map›Paper›PMID 40862620›Full record

SynthesisActa obstetricia et gynecologica Scandinavica2025

Artificial intelligence in the operating room: A systematic review of AI models for surgical phase, instruments and anatomical structure identification.

Sara Paracchini, Cristina Taliento, Giulia Pellecchia, Veronica Tius, Madalena Tavares, Chiara Borghi, Alessandro Antonio Buda, Adrien Bartoli, Nicolas Bourdel, Giuseppe Vizzielli

Abstract readSystematic Review
In one paragraph

Synthesis in Acta obstetricia et gynecologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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.

Sara ParacchiniGynecology Oncology Surgical Unit, Department of Obstetrics and Gynecology, Ospedale Michele e Pietro Ferrero, Verduno, Italy.
Cristina TalientoDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.ORCID 0000-0003-0278-1202
Giulia PellecchiaDepartment of Medicine (DMED), University of Udine, Udine, Italy.ORCID 0000-0002-0644-0301
Veronica TiusDepartment of Medicine (DMED), University of Udine, Udine, Italy.ORCID 0009-0008-6178-2233
Madalena TavaresDepartment of Gynecology, Hospital Da Luz, Lisbon, Portugal.
Chiara BorghiGynecology Oncology Surgical Unit, Department of Obstetrics and Gynecology, Ospedale Michele e Pietro Ferrero, Verduno, Italy.ORCID 0000-0001-5173-2285
Alessandro Antonio BudaGynecology Oncology Surgical Unit, Department of Obstetrics and Gynecology, Ospedale Michele e Pietro Ferrero, Verduno, Italy.ORCID 0000-0002-7093-6862
Adrien BartoliEnCoV, Institut Pascal, UMR 6602, CNRS/UCA, Clermont-Ferrand, France.
Nicolas BourdelEnCoV, Institut Pascal, UMR 6602, CNRS/UCA, Clermont-Ferrand, France.
Giuseppe VizzielliDepartment of Medicine (DMED), University of Udine, Udine, Italy.ORCID 0000-0002-2424-2691

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis systematic review examines the application of multiple deep learning algorithms in the analysis of intraoperative videos to enable feature extraction and pattern recognition of surgical phases, anatomical structures, and surgical instruments. MATERIAL AND

methodsA comprehensive literature search was conducted across PubMed, Web of Science, and EBSCO, covering studies published until March 2024. This review includes studies that applied AI models in the operating room for surgical-phase recognition and/or anatomical structures and instruments. Only studies utilizing machine learning or deep learning for surgical video analysis were considered. The primary outcome measures were accuracy, precision, recall, and F1 score.

resultsA total of 21 studies were included. Multilayer architecture of interconnected neural networks was predominantly used. The deep learning models demonstrated promising results, with accuracy ranging from 81% to 93.2% for surgical-phase recognition. Anatomical structure recognition models achieved accuracy between 71.4% and 98.1%.

conclusionsArtificial intelligence has the potential to significantly improve surgical precision and workflow, with demonstrated success in phase recognition and anatomical structure identification. However, further research is needed to address dataset limitations, standardize annotation protocols, and minimize biases.

Indexed as

Artificial IntelligenceDeep LearningOperating RoomsHumansNeural Networks, ComputerSurgical InstrumentsVideo Recordingartificial intelligenceinstrument recognitionminimally invasive surgerysurgical step recognition

Identifiers

PMID40862620
PMCPMC12575173

What OpenQuestion holds

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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.