Establishing a policy statement on the use of artificial intelligence in neurosurgery.

Journal: Neurosurgical review
Published Date:

Abstract

Throughout the past decade, artificial intelligence (AI) has evolved from theoretical use to practical application in various medical specialties including neurosurgery. Given the increasing interest and exploration of AI models at national neurosurgical conferences, outlining policy for the appropriate and ethical use of AI in neurosurgery is warranted. To this end, the Council of State Neurosurgical Societies (CSNS) Workforce Committee convened an ad hoc committee to explore AI in neurosurgery following passage of a resolution at the 2024 fall meeting (Resolution II-2024 F). This editorial discusses the development process, guiding principles, and supporting evidence behind the AI policy statement. The committee conducted a thorough review of current AI tools, their applications, and their potential pitfalls. A review of existing policies from professional bodies was also conducted. The resulting policy emphasizes five core domains based on the committee's findings and the need for structured guidance in those areas. These included responsible use, privacy and security, transparency, academic integrity, and financial conflicts. The committee also conducted original investigations to explore the efficacy of AI use in certain domains that were under explored in the literature, particularly in academics, to inform key positions.

Authors

  • Ali A Mohamed
    Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA. amohamed2020@health.fau.edu.
  • Nikita Das
    Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  • Megan E H Still
    Lillian S. Wells Department of Neurosurgery, University of Florida, Gainesville, FL, USA.
  • Akshay Sharma
    Electrical Engineering Program, Department of Engineering, SUNY Polytechnic Institute, Utica, NY, 13502, USA.
  • Brandon Lucke-Wold
    1Lillian S. Wells Department of Neurosurgery.
  • Clemens M Schirmer
    Department of Neurosurgery and Neuroscience Institute, Geisinger Health System and Geisinger Commonwealth School of Medicine, Danville, PA, USA.
  • Stephen Pirris
    Department of Neurosurgery, Mayo Clinic, Jacksonville, FL, USA.
  • Owoicho Adogwa
    Department of Neurosurgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, OH 45229, USA. Electronic address: adogwaoo@ucmail.uc.edu.
  • Daniel Prevedello
    Department of Neurological Surgery, The Ohio State University, Columbus, OH, USA.
  • Meena Vessell
    Division of Pediatric Neurosurgery, Department of Surgery, Texas Children's Hospital, Austin, TX, USA.

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