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Introduction. Machine learning in neurosurgery: transitioning to a new era of contemporary medicine

Mohamad Bydon Department of Neurologic Surgery, Mayo Clinic Neuro-Informatics Laboratory, Mayo Clinic, Rochester, Minnesota;

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John H. Shin Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;

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Shelly D. Timmons Department of Neurological Surgery, Indiana University School of Medicine and Indiana University Health, Indianapolis, Indiana; and

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Eric A. Potts Department of Neurological Surgery, Goodman Campbell Brain and Spine, Indianapolis, Indiana

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INTRODUCTION

Rapidtechnological evolution has transformed clinical practice, constituting big data and artificial intelligence as omnipresent tools in the medical arsenal and creating extraordinary potential and unprecedented challenges. The paradigm shift witnessed by the healthcare sector as a result of the mass digitization of information has organically permeated neurosurgery. In recent years, surgical innovation compounded by clinical expertise, in conjunction with novel data-processing techniques, has enabled meaningful advancements in the application of machine learning in neurosurgery.

This issue ofNeurosurgical Focusembodies a representation of the progress in translating machine learning algorithms into clinical practice. The articles included in this issue invariably resonate with the drive to recruit artificial intelligence to address impactful questions, derive meaningful outcomes, and achieve personalized patient management. The authors study current machine learning models, evaluate novel algorithms, and discuss approaches to appraising machine learning techniques in neurosurgery.

Machine learning in neurosurgery extends beyond the mere synthesis of existing research and exemplifies the power of merging information technology with medical science to transition clinical practice to a new era of contemporary medicine. In our attempt to open this Pandora’s box, we hope to provide a long-lasting reference for clinicians and scientists, stimulate scientific thought, and provide a framework for a fruitful conversation on a highly complicated and challenging topic. We immensely appreciate the contributing authors’ work in undertaking the formidable task of unraveling the highly convoluted role of machine learning in neurosurgery.

Disclosures

The authors report no conflict of interest.

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Illustration portraying neurosurgeon’s hands performing microanastomosis under an operating microscope, with continuous tracking of 21 hand landmarks by a supervising machine learning algorithm. Against a backdrop of darkness, an auspicious light radiates at the center, symbolizing the unknown potential that artificial intelligence holds for the future of neurosurgery. Artist: Aaron Cole, MS. Used with permission from Barrow Neurological Institute, Phoenix, Arizona. See the article by Gonzalez-Romo et al. (E2).

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