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Liquid white box model as an explainable AI for surgery.
Homer A Riva-Cambrin1, Rahul Singh1, Sanju Lama1
1Project neuroArm, Dept. Of Clinical Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
NPJ Digital Medicine
|June 19, 2025
Summary
This study introduces explainable artificial intelligence (AI) models for real-time surgical data analysis, improving surgeon feedback and training. The AI models enhance surgical safety and standardization through transparent decision-making processes.
Area of Science:
- Medical Artificial Intelligence
- Surgical Informatics
- Machine Learning in Healthcare
Background:
- Real-time surgical data analysis is crucial for enhancing surgeon feedback, learning, and performance.
- Data-driven systems promise safer, more standardized surgeries and accelerated training.
- Artificial intelligence (AI) can address limitations in human and classical computing for efficient information processing.
Purpose of the Study:
- To develop explainable AI models for surgical task and skill classification.
- To provide transparent explanations for AI-driven surgical decision-making.
- To investigate the use of liquid time constant models for improved performance under constraints.
Main Methods:
- Development of two distinct AI models: one for surgical task classification and another for skill classification.
- Implementation of explainability features to elucidate model decision processes.
- Investigation of liquid time constant models for enhanced performance and interpretability.
Main Results:
- Successfully created AI models capable of classifying surgical tasks and skills.
- Demonstrated the models' ability to predict and explain surgical decisions.
- Showcased the effectiveness of liquid time constant models in constrained environments.
Conclusions:
- Explainable AI models can significantly improve real-time surgical data understanding and application.
- Transparent AI decision-making is essential for robust model development and adoption in surgery.
- Liquid time constant models offer a promising approach for developing effective and interpretable AI in surgical contexts.

