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International Journal of Environmental... Feb 2022While several publications have focused on the intuitive role of augmented reality (AR) and virtual reality (VR) in neurosurgical planning, the aim of this review was to... (Review)
Review
BACKGROUND
While several publications have focused on the intuitive role of augmented reality (AR) and virtual reality (VR) in neurosurgical planning, the aim of this review was to explore other avenues, where these technologies have significant utility and applicability.
METHODS
This review was conducted by searching PubMed, PubMed Central, Google Scholar, the Scopus database, the Web of Science Core Collection database, and the SciELO citation index, from 1989-2021. An example of a search strategy used in PubMed Central is: "Virtual reality" [All Fields] AND ("neurosurgical procedures" [MeSH Terms] OR ("neurosurgical" [All Fields] AND "procedures" [All Fields]) OR "neurosurgical procedures" [All Fields] OR "neurosurgery" [All Fields] OR "neurosurgery" [MeSH Terms]). Using this search strategy, we identified 487 (PubMed), 1097 (PubMed Central), and 275 citations (Web of Science Core Collection database).
RESULTS
Articles were found and reviewed showing numerous applications of VR/AR in neurosurgery. These applications included their utility as a supplement and augment for neuronavigation in the fields of diagnosis for complex vascular interventions, spine deformity correction, resident training, procedural practice, pain management, and rehabilitation of neurosurgical patients. These technologies have also shown promise in other area of neurosurgery, such as consent taking, training of ancillary personnel, and improving patient comfort during procedures, as well as a tool for training neurosurgeons in other advancements in the field, such as robotic neurosurgery.
CONCLUSIONS
We present the first review of the immense possibilities of VR in neurosurgery, beyond merely planning for surgical procedures. The importance of VR and AR, especially in "social distancing" in neurosurgery training, for economically disadvantaged sections, for prevention of medicolegal claims and in pain management and rehabilitation, is promising and warrants further research.
Topics: Augmented Reality; Humans; Neurosurgery; Neurosurgical Procedures; Virtual Reality
PubMed: 35162742
DOI: 10.3390/ijerph19031719 -
Neurology India 2022
Topics: Career Choice; Female; Humans; Neurosurgeons; Neurosurgery; Neurosurgical Procedures
PubMed: 36076623
DOI: 10.4103/0028-3886.355167 -
Stereotactic and Functional Neurosurgery 2021
Topics: Humans; Imaging, Three-Dimensional; Neurosurgery; Neurosurgical Procedures; Stereotaxic Techniques
PubMed: 34587613
DOI: 10.1159/000519243 -
Arquivos de Neuro-psiquiatria Feb 2014
Topics: Clinical Competence; Humans; Neurosurgery; Neurosurgical Procedures
PubMed: 24604359
DOI: 10.1590/0004-282X20130253 -
Journal of Neurosurgical Sciences Oct 2022
Topics: Humans; Neurosurgery; Neurosurgical Procedures
PubMed: 36250968
DOI: 10.23736/S0390-5616.22.05869-6 -
Lakartidningen Jan 2023
Topics: Humans; Neurosurgery; Neurosurgical Procedures
PubMed: 36695196
DOI: No ID Found -
Neurology India Mar 2006
Topics: Humans; India; Neurosurgery; Neurosurgical Procedures
PubMed: 16679635
DOI: 10.4103/0028-3886.24694 -
International Journal of Surgery... Oct 2023ChatGPT, powered by the GPT model and Transformer architecture, has demonstrated remarkable performance in the domains of medicine and healthcare, providing customized...
BACKGROUND
ChatGPT, powered by the GPT model and Transformer architecture, has demonstrated remarkable performance in the domains of medicine and healthcare, providing customized and informative responses. In our study, we investigated the potential of ChatGPT in the field of neurosurgery, focusing on its applications at the patient, neurosurgery student/resident, and neurosurgeon levels.
METHOD
The authors conducted inquiries with ChatGPT from the viewpoints of patients, neurosurgery students/residents, and neurosurgeons, covering a range of topics, such as disease diagnosis, treatment options, prognosis, rehabilitation, and patient care. The authors also explored concepts related to neurosurgery, including fundamental principles and clinical aspects, as well as tools and techniques to enhance the skills of neurosurgery students/residents. Additionally, the authors examined disease-specific medical interventions and the decision-making processes involved in clinical practice.
RESULTS
The authors received individual responses from ChatGPT, but they tended to be shallow and repetitive, lacking depth and personalization. Furthermore, ChatGPT may struggle to discern a patient's emotional state, hindering the establishment of rapport and the delivery of appropriate care. The language used in the medical field is influenced by technical and cultural factors, and biases in the training data can result in skewed or inaccurate responses. Additionally, ChatGPT's limitations include the inability to conduct physical examinations or interpret diagnostic images, potentially overlooking complex details and individual nuances in each patient's case. Moreover, its absence in the surgical setting limits its practical utility.
CONCLUSION
Although ChatGPT is a powerful language model, it cannot substitute for the expertise and experience of trained medical professionals. It lacks the capability to perform physical examinations, make diagnoses, administer treatments, establish trust, provide emotional support, and assist in the recovery process. Moreover, the implementation of Artificial Intelligence in healthcare necessitates careful consideration of legal and ethical concerns. While recognizing the potential of ChatGPT, additional training with comprehensive data is necessary to fully maximize its capabilities.
Topics: Humans; Neurosurgery; Artificial Intelligence; Neurosurgical Procedures; Health Facilities
PubMed: 37352529
DOI: 10.1097/JS9.0000000000000571 -
Acta Neurochirurgica Apr 2022Collaboration and successful teamworking are important components of clinical practise, and these skills should be cultivated early in medical school. The breadth of... (Review)
Review
Collaboration and successful teamworking are important components of clinical practise, and these skills should be cultivated early in medical school. The breadth of current medical school curricula means that students often have limited exposure to clinical neurosciences. Since its inception in 2009, the Neurology and Neurosurgery Interest Group (NANSIG) has become a national (UK and Republic of Ireland) example of student and junior doctor synergistic collaboration to deliver educational materials, research, conferences, seminars and workshops, as well as advocating for diversity in this field. Recently, it has expanded to incorporate an international audience and cater for a larger group of young medical professionals. The organisation has overcome numerous challenges and is constantly innovating new approaches to harness the necessary knowledge, skills and network to succeed in a career in neurosciences, neurology and neurosurgery. This article summarises the initiatives undertaken by the group over its first 10 years of existence and its organisational structure, as well as its future plans.
Topics: Humans; Neurology; Neurosciences; Neurosurgery; Neurosurgical Procedures; Public Opinion; Students, Medical
PubMed: 35039958
DOI: 10.1007/s00701-022-05113-0 -
Stereotactic and Functional Neurosurgery 2020
Topics: Forecasting; Humans; Imaging, Three-Dimensional; Neurosurgery; Neurosurgical Procedures; Periodicals as Topic; Stereotaxic Techniques
PubMed: 32726772
DOI: 10.1159/000509928