Seminars in Vascular Surgery最新文献_第7页

Computer Science meets Vascular Surgery: Keeping a pulse on artificial intelligence 计算机科学与血管外科:保持人工智能的脉搏

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-09-01 DOI: 10.1053/j.semvascsurg.2023.05.003

Carly Thaxton , Alan Dardik

引用次数: 0

The regulatory environment for artificial intelligence–enabled devices in the United States 美国人工智能设备的监管环境

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-09-01 DOI: 10.1053/j.semvascsurg.2023.05.005

Nathan L. Liang , Timothy K. Chung , David A. Vorp

引用次数: 0

Protecting patient safety and privacy in the era of artificial intelligence 在人工智能时代保护患者安全和隐私

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-09-01 DOI: 10.1053/j.semvascsurg.2023.06.002

Andrea Alonso, Jeffrey J. Siracuse

引用次数: 0

Potential applications of artificial intelligence and machine learning on diagnosis, treatment, and outcome prediction to address health care disparities of chronic limb-threatening ischemia 人工智能和机器学习在诊断、治疗和结果预测方面的潜在应用，以解决慢性肢体威胁性缺血的医疗保健差异。

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-09-01 DOI: 10.1053/j.semvascsurg.2023.06.003

Amir Behzad Bagheri , Mohammad Dehghan Rouzi , Navid Alemi Koohbanani , Mohammad H. Mahoor , M.G. Finco , Myeounggon Lee , Bijan Najafi , Jayer Chung

{"title":"Potential applications of artificial intelligence and machine learning on diagnosis, treatment, and outcome prediction to address health care disparities of chronic limb-threatening ischemia","authors":"Amir Behzad Bagheri , Mohammad Dehghan Rouzi , Navid Alemi Koohbanani , Mohammad H. Mahoor , M.G. Finco , Myeounggon Lee , Bijan Najafi , Jayer Chung","doi":"10.1053/j.semvascsurg.2023.06.003","DOIUrl":"10.1053/j.semvascsurg.2023.06.003","url":null,"abstract":"<div><p><span><span>Chronic limb-threatening ischemia (CLTI) is the most advanced form of </span>peripheral artery disease. CLTI has an extremely poor prognosis and is associated with considerable risk of major amputation, cardiac morbidity, mortality, and poor </span>quality of life<span><span>. Early diagnosis and targeted treatment of CLTI is critical for improving patient's prognosis. However, this objective has proven elusive, time-consuming, and challenging due to existing </span>health care disparities<span> among patients. In this article, we reviewed how artificial intelligence (AI) and machine learning (ML) can be helpful to accurately diagnose, improve outcome prediction<span>, and identify disparities in the treatment of CLTI. We demonstrate the importance of AI/ML approaches for management of these patients and how available data could be used for computer-guided interventions. Although AI/ML applications to mitigate health care disparities in CLTI are in their infancy, we also highlighted specific AI/ML methods that show potential for addressing health care disparities in CLTI.</span></span></span></p></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Mature artificial intelligence– and machine learning–enabled medical tools impacting vascular surgical care: A scoping review of late-stage, US Food and Drug Administration–approved or cleared technologies relevant to vascular surgeons 影响血管外科护理的成熟人工智能和机器学习医疗工具：美国食品和药物管理局批准或批准的血管外科医生相关技术的后期范围审查。

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-09-01 DOI: 10.1053/j.semvascsurg.2023.06.001

David P. Stonko, Caitlin W. Hicks

{"title":"Mature artificial intelligence– and machine learning–enabled medical tools impacting vascular surgical care: A scoping review of late-stage, US Food and Drug Administration–approved or cleared technologies relevant to vascular surgeons","authors":"David P. Stonko, Caitlin W. Hicks","doi":"10.1053/j.semvascsurg.2023.06.001","DOIUrl":"10.1053/j.semvascsurg.2023.06.001","url":null,"abstract":"<div><p><span><span>Artificial intelligence and machine learning (AI/ML)-enabled tools are shifting from theoretical or research-only applications to mature, clinically useful tools. The goal of this article was to provide a scoping review of the most mature AI/ML-enabled technologies reviewed and cleared by the US Food and Drug Administration relevant to the field of vascular surgery. Despite decades of slow progress, this landscape is now evolving rapidly, with more than 100 AI/ML-powered tools being approved by the US Food and Drug Administration each year. Within the field of vascular surgery specifically, this review identified 17 companies with mature technologies that have at least one US Food and Drug Administration clearance, all occurring between 2016 and 2022. The maturation of these technologies appears to be accelerating, with improving regulatory clarity and clinical uptake. The early AI/ML-powered devices extend or amplify clinically entrenched platform technologies and tend to be focused on the diagnosis or evaluation of time-sensitive, clinically important pathologies (eg, reading Digital Imaging and Communications in Medicine–compliant </span>computed tomography images to identify pulmonary embolism), or when physician efficiency or time savings is improved (eg, preoperative planning and intraoperative guidance). The majority (>75%) of these technologies are at the intersection of </span>radiology and vascular surgery. It is becoming increasingly important that the contemporary vascular surgeon understands this shifting paradigm, as these once-nascent technologies are finally maturing and will be encountered with increasingly regularity in daily clinical practice.</p></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial intelligence–based predictive models in vascular diseases 基于人工智能的血管疾病预测模型

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-09-01 DOI: 10.1053/j.semvascsurg.2023.05.002

Fabien Lareyre , Arindam Chaudhuri , Christian-Alexander Behrendt , Alexandre Pouhin , Martin Teraa , Jonathan R. Boyle , Riikka Tulamo , Juliette Raffort

{"title":"Artificial intelligence–based predictive models in vascular diseases","authors":"Fabien Lareyre , Arindam Chaudhuri , Christian-Alexander Behrendt , Alexandre Pouhin , Martin Teraa , Jonathan R. Boyle , Riikka Tulamo , Juliette Raffort","doi":"10.1053/j.semvascsurg.2023.05.002","DOIUrl":"10.1053/j.semvascsurg.2023.05.002","url":null,"abstract":"<div><p><span><span>Cardiovascular disease represents a source of major health problems worldwide, and although medical and technical advances have been achieved, they are still associated with high morbidity and mortality rates. Personalized medicine would benefit from novel tools to better predict individual prognosis and outcomes after intervention. Artificial intelligence (AI) has brought new insights to </span>cardiovascular medicine, especially with the use of machine learning techniques that allow the identification of hidden patterns and complex associations in health data without any </span><em>a priori</em><span> assumptions. This review provides an overview on the use of artificial intelligence–based prediction models in vascular diseases, specifically focusing on aortic aneurysm<span>, lower extremity arterial disease<span><span>, and carotid stenosis. Potential benefits include the development of precision medicine </span>in patients with vascular diseases. In addition, the main challenges that remain to be overcome to integrate artificial intelligence–based predictive models in clinical practice are discussed.</span></span></span></p></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43168363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sex differences in outcomes of exercise therapy for patients with intermittent claudication: A scoping review 间歇性跛行患者运动治疗结果的性别差异:一项范围综述

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-08-25 DOI: 10.1053/j.semvascsurg.2023.08.001

M. Libby Weaver , Laura T. Boitano , Brian J. Fazzone , Jonathan R. Krebs , Andrea H. Denton , Pranav Kapoor , Corey A. Kalbaugh , Jessica P. Simons

{"title":"Sex differences in outcomes of exercise therapy for patients with intermittent claudication: A scoping review","authors":"M. Libby Weaver , Laura T. Boitano , Brian J. Fazzone , Jonathan R. Krebs , Andrea H. Denton , Pranav Kapoor , Corey A. Kalbaugh , Jessica P. Simons","doi":"10.1053/j.semvascsurg.2023.08.001","DOIUrl":"10.1053/j.semvascsurg.2023.08.001","url":null,"abstract":"<div><p><span>Exercise therapy<span> is first-line treatment for </span></span>intermittent claudication<span><span> due to peripheral artery disease. We sought to synthesize the literature on sex differences in response to exercise therapy for the treatment of intermittent claudication due to peripheral artery disease. A scoping review was performed (1997 to 2023) using Ovid MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Embase, SPORTDiscus, and Web of Science. Articles were included if they were a scientific report of any measures of health-related </span>quality of life<span> or walking performance after an intervention that included a structured walking program. Of the 13 studies, 11 included measures of walking distance; 7 included measures of walking time, 5 included measures of walking speed, and 4 included quality of life measures. Overall, exercise therapy resulted in significant improvements across most measures of walking performance for both men and females. When comparing magnitudes of outcome improvement by sex, results of walking-based measures were contradictory; some studies noted no difference and others found superior outcomes for men. Results of quality of life–based measures were also contradictory, with some finding no difference and others reporting substantially more improvement for females. Both men and females experienced considerable improvement in walking performance and quality of life with exercise therapy. Evidence regarding the differential effect of exercise therapy on outcomes by sex for intermittent claudication is limited and contradictory. Further efforts should be directed at using standardized interventions and metrics for measuring the outcomes that match the indications for intervention in these patients to better understand the expected benefits and any variance according to sex.</span></span></p></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45944735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Considerations in the Application of Artificial Intelligence in Vascular Surgical Education 人工智能在血管外科教学中应用的思考

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-08-01 DOI: 10.1053/j.semvascsurg.2023.07.004

D. Rigberg, J. Jim

引用次数: 0

The role of multimodal imaging in emergency vascular conditions: The journey from diagnosis to hybrid operating rooms 多模式成像在急诊血管疾病中的作用：从诊断到混合手术室

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-06-01 DOI: 10.1053/j.semvascsurg.2023.04.001

Elda Chiara Colacchio, Mariagiovanna Berton, Francesco Squizzato, Mirko Menegolo, Michele Piazza, Franco Grego, Michele Antonello

{"title":"The role of multimodal imaging in emergency vascular conditions: The journey from diagnosis to hybrid operating rooms","authors":"Elda Chiara Colacchio, Mariagiovanna Berton, Francesco Squizzato, Mirko Menegolo, Michele Piazza, Franco Grego, Michele Antonello","doi":"10.1053/j.semvascsurg.2023.04.001","DOIUrl":"10.1053/j.semvascsurg.2023.04.001","url":null,"abstract":"<div><p>Multimodal imaging is the incorporation of two or more imaging modalities during the same examination, and it has both diagnostic and treatment applications. The use of image fusion for intraoperative guidance in endovascular interventions is being extended increasingly to the field of vascular surgery, especially in the context of hybrid operating rooms. The aim of this work was to perform a review and narrative synthesis of the available literature in order to report on current applications of multimodal imaging in diagnosis and treatment of emergent vascular conditions. Of 311 records selected in the initial search, 10 articles were included in the present review: 4 cohort studies and 6 case reports. The authors have presented their experience in treating ruptured abdominal aortic aneurysms; aortic dissections; traumas; standard endovascular aortic aneurysm repair, with or without deterioration of renal function; and complex endovascular aortic aneurysm repair, and reported on the long-term clinical results. Although the current literature about multimodal imaging application in emergency vascular conditions is limited, this review highlights the potential of image fusion in hybrid angio-surgical suites, especially for diagnosing and performing treatment in the same operating room, avoiding patient transfer, and allowing procedures with zero or low-dose contrast mean.</p></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9662176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergencies during oncovascular surgery: Strategies and pitfalls 肿瘤手术中的紧急情况:策略和陷阱

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-06-01 DOI: 10.1053/j.semvascsurg.2023.04.018

Pirkka Vikatmaa

{"title":"Emergencies during oncovascular surgery: Strategies and pitfalls","authors":"Pirkka Vikatmaa","doi":"10.1053/j.semvascsurg.2023.04.018","DOIUrl":"10.1053/j.semvascsurg.2023.04.018","url":null,"abstract":"<div><p><span>In a growing number of pathologies, vascular invasion is no longer considered a contraindication for surgery with a curative intention. This has led vascular surgeons to be more involved in the treatment<span> of pathologies that they are not used to. These patients should be managed in a multidisciplinary manner. New types of emergencies and complications have emerged. Emergencies in oncovascular surgery are mostly avoidable with careful planning and good collaboration between oncological surgeons and a dedicated vascular surgery team. The operations often involve difficult vascular dissection and complex reconstructive techniques in a potentially contaminated and irradiated field, and the risk of </span></span>postoperative complications and blow out is increased. However, after a successful operation and immediate postoperative course, the patients often recover faster than the typical fragile vascular surgical patient. This narrative review focuses on emergencies that are more or less specific to oncovascular procedures. A scientific approach and international collaboration are needed, so that we can better identify which patients should be operated, what problems to anticipate and could be avoided with better planning, and which solutions improve patient outcome.</p></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10017425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0