Executive summary of the artificial intelligence in surgery series.

Journal: Surgery
Published Date:

Abstract

As opportunities for artificial intelligence to augment surgical care expand, the accompanying surge in published literature has generated both substantial enthusiasm and grave concern regarding the safety and efficacy of artificial intelligence in surgery. For surgeons and surgical data scientists, it is increasingly important to understand the state-of-the-art, recognize knowledge and technology gaps, and critically evaluate the deluge of literature accordingly. This article summarizes the experiences and perspectives of a global, multi-disciplinary group of experts who have faced development and implementation challenges, overcome them, and produced incipient evidence thereof. Collectively, evidence suggests that artificial intelligence has the potential to augment surgeons via decision-support, technical skill assessment, and the semi-autonomous performance of tasks ranging from resource allocation to patching foregut defects. Most applications remain in preclinical phases. As technologies and their implementations improve and positive evidence accumulates, surgeons will face professional imperatives to lead the safe, effective clinical implementation of artificial intelligence in surgery. Substantial challenges remain; recent progress in using artificial intelligence to achieve performance advantages in surgery suggests that remaining challenges can and will be overcome.

Authors

  • Tyler J Loftus
    Department of Surgery, University of Florida Health, Gainesville, FL. Electronic address: tyler.loftus@surgery.ufl.edu.
  • Alexander P J Vlaar
    Amsterdam UMC, University of Amsterdam, Department of Intensive Care, Amsterdam, Netherlands; Amsterdam UMC, University of Amsterdam, Laboratory of Experimental Intensive Care and Anesthesiology, Amsterdam, Netherlands. Electronic address: a.p.vlaar@amsterdamumc.nl.
  • Andrew J Hung
    Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Los Angeles, California. Electronic address: Andrew.Hung@med.usc.edu.
  • Azra Bihorac
    Department of Medicine, University of Florida, Gainesville, FL USA.
  • Bradley M Dennis
  • Catherine Juillard
  • Daniel A Hashimoto
    Department of Surgery, Massachusetts General Hospital, Boston, MA.
  • Haytham M A Kaafarani
    Massachusetts General Hospital & Harvard Medical School, Boston, MA.
  • Patrick J Tighe
    Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA.
  • Paul C Kuo
    Loyola University Medical Center, Department of Surgery, 2160 S. 1st Avenue, Maywood, IL 60153, USA; One:MAP Section of Surgical Analytics, Department of Surgery, Loyola University Chicago, 2160 S. 1st Avenue, Maywood, IL 60153, USA. Electronic address: paul.kuo@luhs.org.
  • Shuhei Miyashita
    Department of Automatic Control and Systems Engineering, University of Sheffield, United Kingdom. Electronic address: shuhei.miyashita@sheffield.ac.uk.
  • Steven D Wexner
  • Kevin E Behrns