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Gender-based differences in perceptions of artificial intelligence in clinical cardiothoracic surgery.
Joseph J Platz1, Darren S Bryan2, Keith S Naunheim1
1Division of Cardiothoracic Surgery, Department of Surgery, St. Louis University, St. Louis, Mo.
JTCVS Open
|April 10, 2026
Summary
Female cardiothoracic surgeons perceive artificial intelligence (AI) differently than their male counterparts, expressing more reservations. Understanding these gender-based differences in AI adoption is crucial for equitable integration in CT surgery.
Area of Science:
- Cardiothoracic Surgery
- Artificial Intelligence
- Medical Technology
Background:
- Artificial intelligence (AI) is set to transform cardiothoracic (CT) surgery.
- Previous research indicates gender influences AI attitudes and adoption rates in CT surgery.
- This study investigates specific domains of gender-based differences in AI perception within CT surgery.
Purpose of the Study:
- To explore and identify gender-based differences in the attitudes and perceived roles of artificial intelligence (AI) among cardiothoracic surgeons.
- To understand the specific hopes and concerns associated with AI adoption in cardiothoracic surgery based on gender.
Main Methods:
- A global survey on AI in CT surgery was distributed to international CT surgery society members.
- Responses were collected electronically and analyzed using chi-squared analysis on Likert scale data.
- Qualitative thematic analysis was performed on free-text responses.
Main Results:
- Analysis of 412 CT surgeons (344 men, 68 women) revealed gender-based perception differences.
- Female CT surgeons were more inclined to view AI as having a limited role, especially North American female thoracic surgeons.
- Women prioritized AI for administrative efficiency, while men focused on diagnostic support; women feared bias, men technical issues.
Conclusions:
- Gender significantly impacts CT surgeons' views on AI, with women showing more reservations.
- Understanding these differing perspectives is vital for the equitable implementation of AI in CT surgery.
- Addressing gender-specific concerns is essential for successful AI integration and maintaining gender equity in the field.

