The Role of Artificial Intelligence in Diagnostic Neurosurgery: A Systematic Review
Abstract
Background:
Artificial
intelligence
(AI)
is
increasingly
applied
in
diagnostic
neurosurgery,
enhancing
precision
and
decision-making
neuro-oncology,
vascular,
functional,
spinal
subspecialties.
Despite
its
potential,
variability
outcomes
necessitates
a
systematic
review
of
performance
applicability.
Methods :
A
comprehensive
search
PubMed,
Cochrane
Library,
Embase,
CNKI,
ClinicalTrials.gov
was
conducted
from
January
2020
to
2025.
Inclusion
criteria
comprised
studies
utilizing
AI
for
reporting
quantitative
metrics.
Studies
were
excluded
if
they
focused
on
non-human
subjects,
lacked
clear
metrics,
or
did
not
directly
relate
applications
neurosurgery.
Risk
bias
assessed
using
the
PROBAST
tool.
This
study
registered
PROSPERO,
number
CRD42025631040
26th,
Results :
Within
186
studies,
neural
networks
(29%)
hybrid
models
(49%)
dominated.
categorised
into
neuro-oncology
(52.69%),
vascular
neurosurgery
(19.89%),
functional
(16.67%),
(11.83%).
Median
accuracies
exceeded
85%
most
categories,
with
achieving
high
accuracy
tumour
detection,
grading,
segmentation.
Vascular
excelled
stroke
intracranial
haemorrhage
median
AUC
values
97%.
Functional
showed
promising
results,
though
sensitivity
specificity
underscores
need
standardised
datasets
validation.
Discussion:
The
review’s
limitations
include
lack
data
weighting,
absence
meta-analysis,
limited
collection
timeframe,
quality,
risk
some
studies.
Conclusion:
AI
shows
potential
improving
across
neurosurgical
domains.
Models
used
stroke,
ICH,
aneurysm
conditions
such
as
Parkinson’s
disease
epilepsy
demonstrate
results.
However,
sensitivity,
specificity,
further
research
model
refinement
ensure
clinical
viability
effectiveness.
Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown
Published: April 4, 2025
Language: Английский