Promises and Perils of Artificial Intelligence in Neurosurgery.

Abstract:

:Artificial intelligence (AI)-facilitated clinical automation is expected to become increasingly prevalent in the near future. AI techniques may permit rapid and detailed analysis of the large quantities of clinical data generated in modern healthcare settings, at a level that is otherwise impossible by humans. Subsequently, AI may enhance clinical practice by pushing the limits of diagnostics, clinical decision making, and prognostication. Moreover, if combined with surgical robotics and other surgical adjuncts such as image guidance, AI may find its way into the operating room and permit more accurate interventions, with fewer errors. Despite the considerable hype surrounding the impending medical AI revolution, little has been written about potential downsides to increasing clinical automation. These may include both direct and indirect consequences. Directly, faulty, inadequately trained, or poorly understood algorithms may produce erroneous results, which may have wide-scale impact. Indirectly, increasing use of automation may exacerbate de-skilling of human physicians due to over-reliance, poor understanding, overconfidence, and lack of necessary vigilance of an automated clinical workflow. Many of these negative phenomena have already been witnessed in other industries that have already undergone, or are undergoing "automation revolutions," namely commercial aviation and the automotive industry. This narrative review explores the potential benefits and consequences of the anticipated medical AI revolution from a neurosurgical perspective.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Panesar SS,Kliot M,Parrish R,Fernandez-Miranda J,Cagle Y,Britz GW

doi

10.1093/neuros/nyz471

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

33-44

issue

1

eissn

0148-396X

issn

1524-4040

pii

5637041

journal_volume

87

pub_type

杂志文章,评审
  • International subarachnoid aneurysm trial 2009: endovascular coiling of ruptured intracranial aneurysms has no significant advantage over neurosurgical clipping.

    abstract::In the May 2009 issue of The Lancet Neurology, the 5-year follow-up results of the International Subarachnoid Aneurysm Trial (ISAT) were published. The authors concluded that, although the significant difference between coiling and neurosurgical clipping of ruptured intracranial aneurysms in terms of death and severe ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000368152.67151.73

    authors: Bakker NA,Metzemaekers JD,Groen RJ,Mooij JJ,Van Dijk JM

    更新日期:2010-05-01 00:00:00

  • Cerebellopontine angle osteoma causing trigeminal neuralgia: case report.

    abstract::A case of cerebellopontine angle petrous bone osteoma manifesting as homolateral trigeminal neuralgia and causing a mild brain stem compression is presented. The literature concerning osteomas and particularly those affecting the temporal bone is reviewed. This is the second report of an osteoma located on the inner s...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-199412000-00018

    authors: Ruelle A,Datti R,Andrioli G

    更新日期:1994-12-01 00:00:00

  • Pharmacokinetics of intraventricular vancomycin in hydrocephalic rats.

    abstract::An animal model was developed for studying the pharmacokinetics of antibiotics administered intraventricularly in hydrocephalus. Obstructive hydrocephalus was consistently produced in craniectomized adult rats by injecting kaolin into the cisterna magna. After induction of hydrocephalus, vancomycin was injected into t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198606000-00008

    authors: Howard MA,Grady MS,Park TS,Scheld WM

    更新日期:1986-06-01 00:00:00

  • Ectopic corticotroph adenoma in the cavernous sinus: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Adrenocorticotropin (ACTH)-secreting pituitary adenomas causing Cushing's disease are often difficult to identify because of their variable locations and their small size. This report presents histological evidence of an ectopic ACTH-secreting adenoma located entirely within the cavernous sinus...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199910000-00041

    authors: Sanno N,Tahara S,Yoshida Y,Onose H,Wakabayashi I,Teramoto A

    更新日期:1999-10-01 00:00:00

  • Primary melanocytic tumor of the cerebellopontine angle mimicking a vestibular schwannoma: case report.

    abstract:OBJECTIVE:The majority of tumors of the cerebellopontine angle (CPA) are benign. We report the case of a primary malignant melanoma of the CPA that mimicked a vestibular schwannoma (acoustic neuroma). We discuss the differential diagnosis and prognosis of melanotic lesions at this location. CLINICAL PRESENTATION:A 49-...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000219236.48886.44

    authors: Piedra MP,Scheithauer BW,Driscoll CL,Link MJ

    更新日期:2006-07-01 00:00:00

  • Craniosynostosis: computed tomographic evaluation of skull base and calvarial deformities and associated intracranial changes.

    abstract::Computed tomography has proven useful in children with craniosynostosis for the evaluation of deformity of the skull base, calvarium, and parenchymal brain structures. A retrospective analysis of 24 children seen during a 4-year period who had adequate preoperative, postoperative, and follow-up scans was carried out. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198110000-00003

    authors: Carmel PW,Luken MG 3rd,Ascherl GF Jr

    更新日期:1981-10-01 00:00:00

  • Extensive spinal cord infarction after posterior fossa surgery in the sitting position: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Spinal cord injury is a rare complication of neurosurgery performed with the patient in the sitting position. Previous reports showed that the level of injury is usually located at or near the C5 segmental spinal level, and the term midcervical quadriplegia has been proposed. Extensive spinal c...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000125008.93625.5e

    authors: Morandi X,Riffaud L,Amlashi SF,Brassier G

    更新日期:2004-06-01 00:00:00

  • Stereotactic Radiosurgery for Arteriovenous Malformations: The Effect of Treatment Period on Patient Outcomes.

    abstract:BACKGROUND:Stereotactic radiosurgery (SRS) has been performed on patients with cerebral arteriovenous malformations (AVMs) for over 40 years. OBJECTIVE:To evaluate the impact of treatment period on obliteration, intracranial hemorrhage (ICH), and radiation-induced complications (RICs). METHODS:Retrospective compariso...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000001085

    authors: Pollock BE,Link MJ,Stafford SL,Garces YI,Foote RL

    更新日期:2016-04-01 00:00:00

  • Multiple meningiomas evaluated by computed tomography.

    abstract::There were 15 cases of multiple meningiomas in a consecutive series of 168 cases of meningioma studied by computed tomography during the last 5 years. This incidence of 8.9% is significantly higher than the 1 to 3% incidence reported previously. A brief clinical survey of the 15 cases and a description of the location...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198108000-00004

    authors: Lusins JO,Nakagawa H

    更新日期:1981-08-01 00:00:00

  • Effect of prophylactic methicillin on cerebrospinal fluid shunt infections in children.

    abstract::This study retrospectively and prospectively analyzes uncomplicated, noninfected, primary ventriculoperitoneal shunting procedures and ventriculoperitoneal shunt revisions in children done at the University of Wisconsin Hospital from July 1973 to December 1979. We compared the infection rates between patients whose pr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198107000-00002

    authors: Ajir F,Levin AB,Duff TA

    更新日期:1981-07-01 00:00:00

  • Multiphoton excitation of autofluorescence for microscopy of glioma tissue.

    abstract:OBJECTIVE:Intraoperative detection of residual tumor tissue in glioma surgery remains an important challenge because the extent of tumor removal is related to the prognosis of the disease. Multiphoton excited fluorescence tomography of living tissues provides high-resolution structural and photochemical imaging at a su...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000204885.45644.22

    authors: Leppert J,Krajewski J,Kantelhardt SR,Schlaffer S,Petkus N,Reusche E,Hüttmann G,Giese A

    更新日期:2006-04-01 00:00:00

  • Management of Iatrogenic Internal Carotid Artery Dissection and Middle Cerebral Artery Restenosis during Endovascular Treatment of Acute Stroke: Video Case.

    abstract::Iatrogenic dissection of the internal carotid artery (ICA) during endovascular approaches is challenging. This video illustrates a case of iatrogenic ICA dissection at the skull base during mechanical thrombectomy for M1 occlusion. This case was further complicated by post-thrombectomy M1 restenosis that did not impro...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyz043

    authors: Vakharia K,Waqas M,Munich SA,McPheeters MJ,Levy EI

    更新日期:2019-07-01 00:00:00

  • Intraparenchymal and intratumoral interstitial infusion of anti-glioma monoclonal antibody 8H9.

    abstract:OBJECTIVE:Interstitial infusion, a form of local delivery that bypasses the blood-brain barrier, has been shown to afford high regional concentrations of a therapeutic molecule while avoiding systemic exposure. The distribution of monoclonal antibodies administered via interstitial infusion has not been characterized, ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000334052.60634.84

    authors: Luther N,Cheung NK,Dunkel IJ,Fraser JF,Edgar MA,Gutin PH,Souweidane MM

    更新日期:2008-12-01 00:00:00

  • Cortical areas involved in virtual movement of phantom limbs: comparison with normal subjects.

    abstract:OBJECTIVE:To demonstrate that amputees performing "virtual" movements of their amputated limb activate cortical areas previously devoted to their missing limb, we studied amputees with functional magnetic resonance imaging (fMRI) and positron emission tomographic (PET) scans and compared the results with those of norma...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000093424.71086.8f

    authors: Roux FE,Lotterie JA,Cassol E,Lazorthes Y,Sol JC,Berry I

    更新日期:2003-12-01 00:00:00

  • The severity of basilar invagination and atlantoaxial dislocation correlates with sagittal joint inclination, coronal joint inclination, and craniocervical tilt: a description of new indexes for the craniovertebral junction.

    abstract:BACKGROUND:Joint-distraction and intra-operative manipulation surgeries to correct basilar invagination (BI) and atlantoaxial dislocation (AAD) are becoming standard procedures. However, current data are unable to aid in the understanding of normal and abnormal morphology of the C1/C2 joints. OBJECTIVE:To study variou...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000470

    authors: Chandra PS,Goyal N,Chauhan A,Ansari A,Sharma BS,Garg A

    更新日期:2014-12-01 00:00:00

  • Effects of crystalloid and colloid infusions on intracranial pressure and computerized electroencephalographic data in dogs with vasogenic brain edema.

    abstract::This experiment was designed to study the effects of intravascular volume expansion with crystalloid and colloid agents on intracranial pressure (ICP) and computerized electroencephalographic (EEG) data in dogs with cerebral vasogenic edema. A liquid nitrogen cold lesion was produced in the right parietal lobes of 30 ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198908000-00004

    authors: Tranmer BI,Iacobacci RI,Kindt GW

    更新日期:1989-08-01 00:00:00

  • Management of Degenerative Lumbar Spinal Stenosis in the Elderly.

    abstract:BACKGROUND:Lumbar spinal stenosis can cause symptomatic neurogenic claudication alongside radicular pain and weakness. In appropriately selected patients, surgical intervention has been demonstrated to provide for improvement in pain, disability, and quality of life. This systematic review sought to define the utility ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0000000000000943

    authors: Shamji MF,Mroz T,Hsu W,Chutkan N

    更新日期:2015-10-01 00:00:00

  • The rete mirabile of the cranial base: a millenary legend.

    abstract::The rete mirabile, a vascular network assumed to give origin to the intracranial segments of the internal carotid arteries, was interpreted by Galen as the key station for the conversion of the "vital spirit" into the "animal spirit." According to this interpretation, the rete was determinant either in sustaining the ...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.NEU.0000216118.31290.65

    authors: Viale G

    更新日期:2006-06-01 00:00:00

  • Intraventricular administration of morphine for control of intractable cancer pain in 90 patients.

    abstract:OBJECTIVE:To quantitate the relief of intractable cancer pain by the use of intraventricular morphine administration. METHODS:Intraventricular morphine administration was performed through an Ommaya reservoir. An initial dose of 0.25 mg of morphine sulfate per 24 hours was administered to all of the patients. This dos...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199607000-00012

    authors: Karavelis A,Foroglou G,Selviaridis P,Fountzilas G

    更新日期:1996-07-01 00:00:00

  • Cryptococcal skull infection: a case report with review of the literature.

    abstract::A case of cryptococcal osteomyelitis of the skull is presented. The patient was an immunocompetent host with skull and skin involvement without central nervous system or pulmonary extension. The radiographic findings are reviewed to include skull films, bone scan, and computed tomographic and magnetic resonance imagin...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-199306000-00028

    authors: Armonda RA,Fleckenstein JM,Brandvold B,Ondra SL

    更新日期:1993-06-01 00:00:00

  • Iliac screw fixation using computer-assisted computer tomographic image guidance: technical note.

    abstract:BACKGROUND:Iliac screw fixation is a powerful tool used by spine surgeons to achieve fusion across the lumbosacral junction for a number of indications, including deformity, tumor, and pseudarthrosis. Complications associated with screw placement are related to blind trajectory selection and excessive soft tissue disse...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318230517a

    authors: Shin JH,Hoh DJ,Kalfas IH

    更新日期:2012-03-01 00:00:00

  • Surgical monitoring of spinal cord function: cauda equina stimulation technique.

    abstract::Spinal cord and subcortical brain stem evoked potentials had an amplitude at least 2 times higher when the cauda equina rather than bilateral peripheral nerves was stimulated. Cauda equina stimulation is indicated when potentials to peripheral nerve stimulation are absent or are too low in amplitude to permit reliable...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Lueders H,Hahn J,Gurd A,Tsuji S,Dinner D,Lesser R,Klem G

    更新日期:1982-10-01 00:00:00

  • Environmental cue-dependent dopaminergic neuronal differentiation and functional effect of grafted neuroepithelial stem cells in parkinsonian brain.

    abstract:OBJECTIVE:To physiologically repair damaged neural circuitry using neural transplantation, the donor cells must be able to differentiate into the optimal type and number of neurons for the host brain environment. They must also be capable of functional regulation by the host brain. These features are important to optim...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000351281.45986.76

    authors: Mine Y,Hayashi T,Yamada M,Okano H,Kawase T

    更新日期:2009-10-01 00:00:00

  • Phosphodiesterase 5 inhibition attenuates cerebral vasospasm and improves functional recovery after experimental subarachnoid hemorrhage.

    abstract:BACKGROUND:Cerebral vasospasm is an independent predictor of poor outcome after subarachnoid hemorrhage (SAH). The nitric oxide-cyclic guanosine monophosphate (NO-cGMP) vasodilatory pathway is strongly implicated in its pathophysiology. Preliminary studies suggest that phosphodiesterase 5 (PDE5), an enzyme that degrade...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31822ec2b0

    authors: Han BH,Vellimana AK,Zhou ML,Milner E,Zipfel GJ

    更新日期:2012-01-01 00:00:00

  • Pontine cavernous angioma resected using the subtemporal, anterior transpetrosal approach determined using three-dimensional anisotropy contrast imaging: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:We describe a case of brainstem cavernous angioma resected by the subtemporal, anterior transpetrosal approach, selected on the basis of three-dimensional anisotropy contrast (3-DAC) imaging. CLINICAL PRESENTATION:A 64-year-old woman presented with sudden headache and gait disturbance. Anatomi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000193531.59606.CB

    authors: Kashimura H,Inoue T,Ogasawara K,Ogawa A

    更新日期:2006-02-01 00:00:00

  • Growth factor biology and oncogene activation in human gliomas and their implications for specific therapeutic concepts.

    abstract::The failure of most available treatment modalities to improve the survival time and the quality of survival in patients with gliomas calls for the intense biological analysis of glial neoplasia. The untimely activation of cellular protooncogenes is often related to the process of neoplasia. Several protein growth fact...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-198911000-00001

    authors: Westphal M,Herrmann HD

    更新日期:1989-11-01 00:00:00

  • Protection of the cortical mantle in premature infants with posthemorrhagic hydrocephalus.

    abstract::Premature infants weighing under 1500 g are now surviving because of technical and medical advances in the field of neonatology. Up to 70% of these babies will have intracranial hemorrhages. The management of posthemorrhagic hydrocephalus in these children with multiple other medical problems has thus become quite sig...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198011000-00007

    authors: Marlin AE

    更新日期:1980-11-01 00:00:00

  • Stent placement for atherosclerotic stenosis of the vertebral artery ostium: angiographic and clinical outcomes in 117 consecutive patients.

    abstract:BACKGROUND:Although it is thought to be a safe treatment option, the main concerns related to treating vertebral artery ostium (VAO) stenosis with stents have been the rate of restenosis and the uncertain long-term results. OBJECTIVE:To evaluate the angiographic and clinical results of stent placement for atherosclero...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3181fc62aa

    authors: Hatano T,Tsukahara T,Miyakoshi A,Arai D,Yamaguchi S,Murakami M

    更新日期:2011-01-01 00:00:00

  • Changes in the immunophenotype of recurrent pituitary adenomas.

    abstract::Only two cases have been reported of a pituitary adenoma that changed phenotype between its initial resection and recurrence. To determine the frequency of such cases among our patients, we examined the clinical course of these tumors and characterized any patterns. We reviewed the charts of 1023 patients with pituita...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199407000-00006

    authors: Mindermann T,Kovacs K,Wilson CB

    更新日期:1994-07-01 00:00:00

  • Injuries involving the transverse atlantal ligament: classification and treatment guidelines based upon experience with 39 injuries.

    abstract::Comprehensive anatomic and clinical analyses of 39 patients with injuries involving the transverse atlantal ligament or its osseous insertions were performed to assess the morphology of the injured ligaments and the patients' capacity to heal. Injuries of the upper cervical spine were screened with plain radiographs, ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199601000-00012

    authors: Dickman CA,Greene KA,Sonntag VK

    更新日期:1996-01-01 00:00:00