Video-Based Performance Analysis in Pituitary Surgery - Part 2: Artificial Intelligence Assisted Surgical Coaching

Area of Science:

• Neurosurgery
• Medical Education
• Artificial Intelligence

Background:

• Superior surgical skill is crucial for optimal outcomes in endoscopic pituitary adenoma surgery.
• Video-based coaching, inspired by professional sports, shows potential for surgical training.
• This study focused on developing and evaluating an AI-assisted video coaching program for this surgical specialty.

Purpose of the Study:

• To develop and assess an AI-assisted video-based coaching program for endoscopic pituitary adenoma surgery.
• To evaluate the program's feasibility, acceptability, and appropriateness.
• To determine the program's impact on surgical performance and patient outcomes.

Main Methods:

• An AI-assisted video-based surgical coaching program was implemented over six months.
• The program involved monthly video analysis and quarterly educational meetings.
• Surgical performance and outcomes were compared between a 6-month coaching period and a preceding 6-month control period.

Main Results:

• The coaching program was highly rated for feasibility, acceptability, and appropriateness by participants.
• Surgical performance significantly improved across all operative phases during the coaching period (P < 0.001).
• A significant reduction in new postoperative anterior pituitary hormone deficit was observed (P = 0.01).

Conclusions:

• A novel AI-assisted video surgical coaching program for endoscopic pituitary adenoma surgery was successfully developed.
• The program demonstrated viability and a positive impact on surgical performance.
• Early results indicate potential improvements in patient outcomes, warranting further investigation.