Articles: surgery.
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J. Thorac. Cardiovasc. Surg. · Nov 2024
How Soon Will Surgeons Become Mere Technicians? Chatbot Performance in Managing Clinical Scenarios.
Chatbot use has developed a presence in medicine and surgery and has been proposed to help guide clinical decision making. However, the accuracy of information provided by artificial intelligence (AI) platforms has been questioned. We evaluated the performance of 4 popular chatbots on a board-style examination and compared results with a group of board-certified thoracic surgeons. ⋯ Four popular chatbots performed at a significantly lower level than board-certified surgeons. Implementation of AI should be undertaken with caution in clinical decision making.
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Bacterial brain abscesses may have long-term clinical consequences, eg, mental fatigue or epilepsy, but long-term structural consequences to the brain remain underexplored. We asked if brain abscesses damage brain activity long term, if the extent of such damage depends on the size of the abscess, and if the abscess capsule, which is often left in place during neurosurgery, remains a site of inflammation, which could explain long-lasting symptoms in patients with brain abscess. ⋯ The bigger a brain abscess is allowed to grow, the more extensive is the long-term focal reduction in brain activity. This finding emphasizes the need for rapid neurosurgical intervention. The abscess capsule does not display long-lasting inflammation and probably does not explain long-term symptoms after brain abscess.
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Scholarship has been critical to neurosurgery. As grades and board examinations become pass-fail, finding metrics to distinguish applicants coupled with an emphasis on research has led to growth of reported academic output among neurosurgery applicants. We aimed to evaluate applicant factors that associate with an academically productive neurosurgery resident. ⋯ Cultivating an environment that promotes research endeavors is critical for neurosurgical resident academic growth. Preresidency publication number does not predict publication potential during residency.
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Virtual angioscopy (VA) has been used for vessel investigation and treatment planning in vascular surgery. To our knowledge, the use of VA in neurointerventional cases has not been demonstrated. ⋯ Endoluminal visualization of the fistula served as an additional tool that improved anatomic understanding and treatment planning. These cases demonstrate the utility of VA in endoluminal visualization of dural arteriovenous fistula to aid in treatment planning.
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Retrospectively matched case-control study. ⋯ Treatment benefits, Level IV.