First-in-human, real-time artificial intelligence assisted cerebral aneurysm coiling: a preliminary experience
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View abstract on PubMed
Summary
This summary is machine-generated.Artificial intelligence (AI) provides real-time alerts during cerebral aneurysm coiling, enhancing safety and accuracy. This preliminary study shows AI assistance is effective and safe for neuroendovascular procedures.
Area Of Science
- Neurosurgery
- Medical Technology
- Artificial Intelligence
Background
- Neuroendovascular procedures demand constant monitoring of multiple devices and screens.
- Overlooking unintended device movements can lead to serious complications.
- Artificial intelligence (AI) offers real-time notifications for device movements during procedures.
Purpose Of The Study
- To report the preliminary experience of using real-time AI-assisted cerebral aneurysm coiling in humans.
- To evaluate the efficacy, accuracy, and safety of AI-driven notifications during neuroendovascular procedures.
Main Methods
- A real-time AI-assistance software was utilized during coil embolization for nine unruptured cerebral aneurysms.
- The AI system provided notifications for 'coil marker approaching', 'guidewire movement', and 'device entry' on biplane fluoroscopic images.
- Efficacy, accuracy, and safety were assessed via video recording analysis.
Main Results
- The AI system performed correctly in all procedures.
- High precision (92.7%) and recall (97.2%) were achieved.
- AI notifications led to guidewire adjustments in 19% of true positive cases, demonstrating potential effectiveness without adverse events.
Conclusions
- The AI software demonstrated sufficient accuracy and safety in this initial human study.
- This represents the first reported use of real-time AI for cerebral aneurysm coiling assistance.
- Further large-scale studies are needed to confirm effectiveness, but AI shows significant promise for neuroendovascular therapy.
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