Epilepsy surgery candidate identification with artificial intelligence: An implementation study
View abstract on PubMed
Summary
This summary is machine-generated.Artificial intelligence, including machine learning algorithms and large language models (LLMs), shows promise in identifying patients for epilepsy surgery evaluation and extracting relevant clinical information for referrals.
Area Of Science
- Neurology
- Artificial Intelligence
- Medical Informatics
Background
- Epilepsy surgery evaluation requires careful patient selection.
- Identifying suitable candidates can be time-consuming.
- AI tools may streamline this process.
Purpose Of The Study
- To evaluate a machine learning algorithm for identifying epilepsy surgery evaluation candidates.
- To assess a large language model's (LLM) performance in extracting key information for referrals.
Main Methods
- AI analyses applied to patients in an epilepsy clinic over 12 months.
- A random forest model stratified patients by surgery candidacy likelihood.
- Top 5% underwent manual review; an LLM extracted referral-relevant data from clinic notes.
Main Results
- 53.3% of manually reviewed patients met criteria for epilepsy surgery evaluation.
- 20% were referred within one month.
- LLM accuracy ranged from 80-100%, with most errors in management plan summarization.
Conclusions
- AI, including machine learning and LLMs, shows potential to aid in identifying patients for epilepsy surgery evaluation.
- AI tools can assist in extracting critical information for surgical referrals.

