Evidence map›Paper›PMID 41817162›Full record

ReviewBJU international2026

Artificial intelligence-based approaches to augmenting and automating surgical training.

Jasmine Lin, Ludovica Cella, Mitchell G Goldenberg, Andrew J Hung

Abstract readReview
In one paragraph

Review in BJU international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Jasmine LinDepartment of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.ORCID 0000-0003-2478-1668
Ludovica CellaDepartment of Biomedical Sciences, Humanitas University, Rozzano, Italy.
Mitchell G GoldenbergCatherine and Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA.
Andrew J HungDepartment of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Funding

Preserving Erectile Function by Quantifying the Nerve-Sparing step of the Robotic ProstatectomyR01CA273031 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Jim Hu, Andrew Hung · 2022 to 2026
$3.6M
Assessing, Optimizing, and Delivering Surgical Feedback with AI for Benign Urological Robotic SurgeriesR01CA298988 · NCI · CEDARS-SINAI MEDICAL CENTER · PI Andrew Hung · 2025 to 2026
$1.3M
NCI HHS NIH National Cancer Institute R01-CA251579NCI HHS NIH National Cancer Institute R01-CA298988NCI NIH HHS R01 CA273031NCI NIH HHS R01 CA298988
6 · The paper itself

Abstract

objectiveTo review recent advances in the use of artificial intelligence (AI) to address shortcomings in assessing and improving surgical performance/training by automating surgical skills assessment and feedback.

methodsWe searched PubMed for studies published between 2015 and 2025 pertaining to AI for surgical training. Search terms included 'artificial intelligence or 'machine learning' or 'deep learning' and 'surgical feedback' or 'surgical training' or 'surgical skill'. Articles were identified with special attention given to those published in the last 5 years with a focus on AI for surgical skill assessment or feedback.

resultsArtificial intelligence has been used to successfully automate surgical skill assessment across a variety of surgical disciplines via approaches such as kinematics, sabermetrics, computer vision, and gesture analysis. Many of these studies have developed AI models capable of a binary classification of skill (novice vs expert), which demonstrate concordance when verified against ground truths from human raters. Based on these skills assessments, AI approaches may be further leveraged to generate automatic feedback, which has proven effective in improving surgeon performance metrics, particularly for underperformers. AI has also shown utility in categorising and analysing the content and impact of live surgical feedback, enabling more efficient analysis of how feedback can be best delivered to trainees.

conclusionsArtificial intelligence is a promising tool for augmenting surgical training and improving the objectivity and scalability of surgical skill assessment and feedback. To date, AI models are adept at detecting relatively large differences in surgical performance and providing rudimentary feedback. Further work is required to create models capable of doing more fine-tuned skill assessments and generating more detailed, constructive feedback.

Indexed as

Artificial IntelligenceClinical CompetenceGeneral SurgeryHumansIntelligent Systemsartificial intelligencedeep learningmachine learningsurgical assessmentsurgical educationsurgical feedbacksurgical skillsurgical training

Identifiers

PMID41817162
PMCPMC13312422

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.