Artificial Intelligence and Neurosurgery: Tracking Antiplatelet Response Patterns for Endovascular Intervention
Khushi Saigal1, Anmol Bharat Patel2, Brandon Lucke-Wold3
1College of Medicine, University of Florida, Gainesville, FL 32610, USA.
Medicina (Kaunas, Lithuania)
|October 28, 2023
Summary
Managing antiplatelet therapy in neurosurgery is challenging due to bleeding versus thrombosis risks. Artificial intelligence (AI) offers potential solutions for optimizing antiplatelet regimens and patient outcomes.
Area of Science:
- Neurosurgery
- Cardiovascular Medicine
- Artificial Intelligence
Background:
- Platelets are crucial for hemostasis and thrombosis.
- Antiplatelet therapy is essential for preventing cardiovascular events.
- Neurosurgery presents unique challenges for antiplatelet therapy management.
Purpose of the Study:
- To review current guidelines for antiplatelet therapy in neurosurgery.
- To explore monitoring methods like PRU and TEG for antiplatelet efficacy.
- To investigate the potential of AI in optimizing antiplatelet therapy decisions and patient adherence in neurosurgery.
Main Methods:
- Review of clinical guidelines and supported antiplatelet regimens.
- Exploration of P2Y12 reaction units (PRU) and thromboelastography (TEG) monitoring.
- Analysis of AI prediction models for forecasting ischemic and bleeding events.
- Consideration of AI for improving patient adherence.
Main Results:
- Current guidelines for antiplatelet therapy in neurosurgery are limited.
- PRU and TEG monitoring have limitations in assessing antiplatelet response.
- AI models show promise in predicting adverse outcomes and aiding treatment decisions.
- AI can potentially enhance patient adherence to antiplatelet regimens.
Conclusions:
- Optimizing antiplatelet therapy in neurosurgery requires careful risk-benefit assessment.
- AI holds significant potential to personalize antiplatelet treatment strategies.
- Further research into AI applications can improve patient safety and outcomes in neurosurgical settings.
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