Artificial intelligence-assisted decision making: Prediction of optimal level of distal mesorectal margin during transanal total mesorectal excision (taTME) using deep neural network modeling.

Journal: Journal of visceral surgery
PMID: 38964939

Abstract

BACKGROUND: With steep posterior anorectal angulation, transanal total mesorectal excision (taTME) may have a risk of dissection in the wrong plane or starting higher up, resulting in leaving distal mesorectum behind. Although the distal mesorectal margin can be assessed by preoperative MRI, it needs skilled radiologist and high-definition image for accurate evaluation. This study developed a deep neural network (DNN) to predict the optimal level of distal mesorectal margin.

Authors

  • Waleed M Ghareeb
    Gastrointestinal Surgery Unit, Department of Surgery, Faculty of Medicine, Suez Canal University Hospital, Ismailia, Egypt; Laboratory of Applied Artificial Intelligence in Medical Disciplines, Department of Surgery, Faculty of Medicine, Suez Canal University Hospital, Ismailia, Egypt. Electronic address: waleed.m.ghareeb@med.suez.edu.eg.
  • Sylla Patricia
    Division of Colon and Rectal Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Eman N Draz
    Department of Human Anatomy and Embryology, Faculty of Medicine, Suez Canal University, Egypt.
  • Sara Al Bastaki
    Department of General and Colorectal Surgery, Mediclinic City Hospital, Abu-Dhabi, United Arab Emirates.
  • Ahmed Hassan
    Centre for Spinal Studies and Surgery, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, NG7 2UH, UK; Department of Orthopedics and Trauma Surgery, Assiut University School of Medicine, Assiut, Egypt.
  • Ahmed Ghanem
    Gastrointestinal Surgery Unit, Department of Surgery, Faculty of Medicine, Suez Canal University Hospital, Ismailia, Egypt; Laboratory of Applied Artificial Intelligence in Medical Disciplines, Department of Surgery, Faculty of Medicine, Suez Canal University Hospital, Ismailia, Egypt.
  • Ibrahim Shokri
    Radiology department, Faculty of Medicine, Suez Canal University, Egypt.
  • Khaled Madbouly
    Colorectal Surgery Unit, Alexandria University, Faculty of Medicine, Alexandria, Egypt. Electronic address: https://twitter.com/WaleedMGhareeb1.
  • Sameh H Emile
    Colorectal Surgery Unit, General Surgery Department, Mansoura University Hospital, Egypt; Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA.
  • Sherief Shawki
    Department of colon and rectal Surgery, Mayo Rochester, MN, USA.

Keywords

External Resources

Popular Topics
Recent Journals