Evidence map›Paper›PMID 41440193›Full record

ReviewCurrent oncology (Toronto, Ont.)2025

The Emerging Role of Multimodal Artificial Intelligence in Urological Surgery.

Leonhard Buck, Jakob Kohler, Julian Risch, Reha-Baris Incesu, Konrad Hügelmann, Marie-Luise Weiss, Oscar Weische, Patricia Schließer, Hans Christoph von Knobloch, Niclas C Blessin and 4 more

Abstract readReview
In one paragraph

Review in Current oncology (Toronto, Ont.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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.

Leonhard BuckDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.ORCID 0000-0002-4565-7933
Jakob KohlerDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.ORCID 0009-0001-8972-2290
Julian RischDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.ORCID 0009-0004-7984-0826
Reha-Baris IncesuDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Konrad HügelmannDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Marie-Luise WeissDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Oscar WeischeDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Patricia SchließerDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Hans Christoph von KnoblochDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Niclas C BlessinDepartment of Pathology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Thorsten BachDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Jonas JarczykDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Philipp NuhnDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.
Severin RodlerDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, 24105 Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultimodal artificial intelligence (MMAI) is transforming urological oncology by enabling the seamless integration of diverse data sources, including imaging, clinical records and robotic telemetry to facilitate patient-specific decision-making.

methodsThis narrative review summarizes the current developments, applications, opportunities and risks of multimodal AI systems throughout the entire perioperative process in uro-oncologic surgery.

resultsMMAI demonstrates quantifiable benefits across the entire perioperative pathway. Preoperatively, it improves diagnostics and surgical planning via multimodal data fusion. Intraoperatively, AI-assisted systems provide real-time context-based decision support, risk prediction and skill assessment within the operating theater. Postoperatively, MMAI facilitates automated documentation, early complication detection and personalized follow-up. Generative AI further revolutionizes surgical training through adaptive feedback and simulations. However, critical limitations must be addressed, including data bias, the barrier of closed robotic platforms, insufficient model validation, data security issues, hallucinations and ethical concerns regarding liability and transparency.

conclusionsMMAI significantly enhances the precision, efficiency and patient-centeredness of uro-oncological care. To ensure safe and widespread implementation, resolving the technical and regulatory barriers to real-time integration into robotic platforms is paramount. This must be coupled with standardized quality controls, transparent decision-making processes and responsible integration that fully preserves physician autonomy.

Indexed as

Artificial IntelligenceUrologic NeoplasmsUrologic Surgical ProceduresHumansRobotic Surgical Proceduresethical challengesgenerative AIlarge language modelsmultimodal artificial intelligenceperioperative caresurgical roboticsurologic oncology

Identifiers

PMID41440193
PMCPMC12731996

What OpenQuestion holds

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LicenceCC BY
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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.