Missouri medicine最新文献

As Rural Hospitals Close, Here's What Integration Has Made Possible in Jefferson City. 随着乡村医院的关闭，杰弗逊城的融合使之成为可能。

Missouri medicine Pub Date : 2026-05-01

Randall Haight

引用次数: 0

The Role of Artificial Intelligence in Acute Ischemic Stroke Care: A Narrative Review. 人工智能在急性缺血性脑卒中治疗中的作用：述评

Missouri medicine Pub Date : 2026-05-01

Hunter Brooks, Zuri St Julien, Ibrahim A Bhatti, Balint Otvos, Camilo Gomez, Adnan I Qureshi, Farhan Siddiq

{"title":"The Role of Artificial Intelligence in Acute Ischemic Stroke Care: A Narrative Review.","authors":"Hunter Brooks, Zuri St Julien, Ibrahim A Bhatti, Balint Otvos, Camilo Gomez, Adnan I Qureshi, Farhan Siddiq","doi":"","DOIUrl":"","url":null,"abstract":"Acute ischemic stroke remains a leading cause of death and disability; despite time-dependent reperfusion therapies, delays in recognition, imaging interpretation, triage, and specialist access still limit timely treatment. This narrative review outlines how artificial intelligence (AI) may reduce bottlenecks across the stroke pathway. Prehospital tools include dispatcher decision support, consumer wearables, mobile assessment apps, and portable diagnostics may improve early detection and destination selection. In-hospital, AI increasingly assists neuroimaging and workflow, including intracranial hemorrhage detection, automated ASPECTS scoring, large vessel occlusion identification, and perfusion-based estimation of tissue salvageability, often shortening notification and process times. We also discuss AI-enabled risk stratification, systems-of-care coordination, and emerging uses of generative AI for documentation and communication. Key limitations include domain shift, incomplete external validation, bias and equity risks, limited explainability, alert fatigue, integration challenges, and evolving regulatory accountability. Future priorities include multimodal models, prospective implementation-focused trials, and deployment-ready solutions for diverse real-world settings.","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 3","pages":"234-242"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13252889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotics in Cerebrovascular Disease: The Final Frontier. 脑血管疾病中的机器人技术：最后的前沿。

Missouri medicine Pub Date : 2026-05-01

Ibrahim A Bhatti, Hunter Brooks, Fareed Jumah, Balint Otvos, Camilo Gomez, Adnan I Qureshi, Farhan Siddiq

{"title":"Robotics in Cerebrovascular Disease: The Final Frontier.","authors":"Ibrahim A Bhatti, Hunter Brooks, Fareed Jumah, Balint Otvos, Camilo Gomez, Adnan I Qureshi, Farhan Siddiq","doi":"","DOIUrl":"","url":null,"abstract":"Cerebrovascular disease remains a leading cause of global mortality. While endovascular therapies like mechanical thrombectomy and aneurysm coiling have revolutionized management, manual techniques are limited by operator fatigue, tremor, and occupational radiation exposure. This review examines the current state of robotics in neuroendovascular surgery. FDA-approved systems demonstrate safety and technical feasibility, achieving high success rates (94-100%) in aneurysm coiling and carotid stenting while significantly reducing operator radiation exposure (60-80%). In ischemic stroke, preclinical and recent clinical milestones, including the first fully remote, in-human diagnostic angiogram and transcontinental thrombectomy simulations, validate the feasibility of long-distance tele-interventions. Robotics in cerebrovascular management is rapidly evolving from a novel adjunct to clinical reality. Although challenges regarding cost, haptic feedback, and training persist, next-generation platforms integrating artificial intelligence and magnetic navigation hold the potential to overcome these barriers, establishing remote telerobotic networks to expand access to time-critical stroke care.","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 3","pages":"228-233"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13252888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Food-First Prescription for Cognitive Longevity. 认知长寿的食物第一处方。

Missouri medicine Pub Date : 2026-05-01

Max Lugavere

引用次数: 0

Current Concepts in the Management of Cerebral Aneurysms. 脑动脉瘤治疗的新概念。

Missouri medicine Pub Date : 2026-05-01

Camilo R Gomez, Balint Otvos, Kimberley Pfeiffer, Farhan Siddiq, Michael R Chicoine, Adnan I Qureshi

{"title":"Current Concepts in the Management of Cerebral Aneurysms.","authors":"Camilo R Gomez, Balint Otvos, Kimberley Pfeiffer, Farhan Siddiq, Michael R Chicoine, Adnan I Qureshi","doi":"","DOIUrl":"","url":null,"abstract":"Cerebral aneurysms represent a heterogeneous group of vascular lesions whose clinical behavior ranges from incidental, asymptomatic findings to catastrophic aneurysmal subarachnoid hemorrhage. Despite major advances in neuroimaging, microsurgical technique, and endovascular technology, the management of both ruptured and unruptured cerebral aneurysms remains complex and highly individualized. This review examines current concepts in aneurysm pathobiology, natural history, risk stratification, and contemporary treatment strategies, emphasizing durable clinical principles that transcend evolving technology. Particular attention is given to the balance between conservative surveillance and intervention in unruptured aneurysms, as well as the time-critical priorities, complications, and neurocritical care considerations in ruptured aneurysms. The relative roles of microsurgical and endovascular therapies are discussed through the lens of long-term durability, retreatment risk, and patientspecific anatomy. Ultimately, optimal outcomes depend less on any single technique than on disciplined clinical judgment, longitudinal thinking, and true interdisciplinary collaboration within experienced neurovascular centers.","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 3","pages":"243-247"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13252896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

My Full Circle Journey and Why Communication, Mentorship, and Service Matter So Deeply. 《我的轮回之旅》以及《为什么沟通、指导和服务如此重要》。

Missouri medicine Pub Date : 2026-05-01

Ravi Johar

引用次数: 0

Old Age Will Be Different in the Robotic Age. 机器人时代的老年生活将有所不同。

Missouri medicine Pub Date : 2026-05-01

Lydia S Dugdale

引用次数: 0

Goodbye JoE. 再见了乔。

Missouri medicine Pub Date : 2026-05-01

David A Fleming