Bone conductivity and spine fluoroscopy, Hand-Eye-Ear dialogue, during pedicle screw positioning: a new human cognitive system for precision and radiation-decrease; better than artificial intelligence and machine learning system?

Bhogal, Harkirat; Martinov, Sagi; Buteau, Pauline; Bath, Olivier; Hernigou, Jacques

doi:10.1007/s00264-022-05533-8

Cited by 5 publications

(4 citation statements)

References 28 publications

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“…Two cadaveric studies were identified by Siemionow et al [ 14 ]. Only the RCTs by Auloge et al [ 15 ] and Bhogal et al [ 16 ] were identified.…”

Section: Resultsmentioning

confidence: 99%

“…Recently, not only through the integration of AI into navigation but also by leveraging the proprietary characteristics of bone conductivity called “Pediguard,” a tool has been developed to assess the penetration of pedicle screws without relying on fluoroscopy [ 16 ]. This device functions as a wireless perforation instrument, similar to a conventional pedicle awl, and operates based on the principle of local tissue electrical conductivity, which is measured through the electromagnetic field at the instrument’s tip.…”

Section: Discussionmentioning

confidence: 99%

“…Spine JWei et al[12] AI Evaluate the clinical effectiveness and safety of robotic-assisted pedicle screw placement. Only Renaissance and robotic-assisted techniques hold great promise in spinal surgery due to their safety and effectiveness.eClinicalMedicine Bhogal et al[16] …”

mentioning

confidence: 99%

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Current Trends in Artificial Intelligence-Assisted Spine Surgery: A Systematic Review

Liawrungrueang,

Cho,

Sarasombath

et al. 2024

Asian Spine J

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This systematic review summarizes existing evidence and outlines the benefits of artificial intelligence-assisted spine surgery. The popularity of artificial intelligence has grown significantly, demonstrating its benefits in computer-assisted surgery and advancements in spinal treatment. This study adhered to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), a set of reporting guidelines specifically designed for systematic reviews and meta-analyses. The search strategy used Medical Subject Headings (MeSH) terms, including “MeSH (Artificial intelligence),” “Spine” AND “Spinal” filters, in the last 10 years, and English— from January 1, 2013, to October 31, 2023. In total, 442 articles fulfilled the first screening criteria. A detailed analysis of those articles identified 220 that matched the criteria, of which 11 were considered appropriate for this analysis after applying the complete inclusion and exclusion criteria. In total, 11 studies met the eligibility criteria. Analysis of these studies revealed the types of artificial intelligence-assisted spine surgery. No evidence suggests the superiority of assisted spine surgery with or without artificial intelligence in terms of outcomes. In terms of feasibility, accuracy, safety, and facilitating lower patient radiation exposure compared with standard fluoroscopic guidance, artificial intelligence-assisted spine surgery produced satisfactory and superior outcomes. The incorporation of artificial intelligence with augmented and virtual reality appears promising, with the potential to enhance surgeon proficiency and overall surgical safety.

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“…Two cadaveric studies were identified by Siemionow et al [ 14 ]. Only the RCTs by Auloge et al [ 15 ] and Bhogal et al [ 16 ] were identified.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Current Trends in Artificial Intelligence-Assisted Spine Surgery: A Systematic Review

Liawrungrueang,

Cho,

Sarasombath

et al. 2024

Asian Spine J

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show abstract

“…Kageyama et al 16 showed a 98% accuracy in retrospective lumbar surgeries with ECD and multi-axis angiography unit. For prospective randomized controlled trials, Bai et al, 34 Suess et al, 35 Defino et al, 36 Lebhar et al, 37 and Bhogal et al, 38 documented the accuracy from 85% to 97.4%, and shows that ECD increases pedicle screw accuracy, especially in scoliosis surgeries. New applications and techniques have been designed for ECD.…”

Section: Safety and Effectiveness Of The Modified Ecd Withmentioning

confidence: 99%

Spine Surgery with Electronic Conductivity Device: A Prospectively Multicenter Randomized Clinical Trial and Literature Review

Zhai,

Li,

Chen

et al. 2023

Orthopaedic Surgery

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ObjectiveImproving accuracy and safety of pedicle screw placement is of great clinical importance. Electronic conductivity device (ECD) can be a promising technique with features of affordability, portability, and real‐time detection capabilities. This study aimed to validate the safety and effectiveness of a modified ECD.MethodsThe ECD underwent a modification where six lamps of various colors, and it was utilized in a prospectively multicenter randomized controlled clinical trial involving 96 patients across three hospitals from June 2018 to December 2018. The trial incorporated a self‐control randomization with an equal distribution of left or right side of vertebral pedicle among two groups: the free‐hand group and the ECD group. A total of 496 pedicle screws were inserted, with 248 inserted in each group. The primary outcomes focused on the accuracy of pedicle screw placement and the frequency of intraoperative X‐rays. Meanwhile, the secondary indicator measured the time required for pedicle screw placement. Results were presented as means ± SD. Paired samples t‐test and χ2‐test were used for comparison. Furthermore, an updated review was conducted, which included studies published from 2006 onwards.ResultsBaseline patient characteristics were recorded. The primary accuracy outcome revealed a 96.77% accuracy rate in the ECD group, compared to a 95.16% accuracy rate in the free‐hand group, with no significant differences noted. In contrast, ECD demonstrated a significant reduction in radiation exposure frequency when compared to the free‐hand group (1.11 ± 0.32 vs. 1.30 ± 0.53; p < 0.001), resulting in a 14.6% reduction. Moreover, ECD displayed a decrease of 30.38% in insertion time (70.88 ± 30.51 vs. 101.82 ± 54.00 s; p < 0.001). According to the results of the 21 studies, ECD has been utilized in various areas of the spine such as the atlas, thoracic and lumbar spine, as well as sacral 2‐alar‐iliac. The accuracy of ECD ranged from 85% to 100%.ConclusionThe prospectively randomized trial and the review indicate that the use of ECD presents a secure and precise approach to the placement of pedicle screws, with the added benefit of reducing both procedure time and radiation exposure.

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Deconstructing forearm casting task by videos with step-by-step simulation teaching improved performance of medical students: is making working student’s memory work better similar to a process of artificial intelligence or just an improvement of the prefrontal cortex homunculus?

Bouthors

Aurégan

Molina

et al. 2022

International Orthopaedics (SICOT)

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Bone conductivity and spine fluoroscopy, Hand-Eye-Ear dialogue, during pedicle screw positioning: a new human cognitive system for precision and radiation-decrease; better than artificial intelligence and machine learning system?

Cited by 5 publications

References 28 publications

Current Trends in Artificial Intelligence-Assisted Spine Surgery: A Systematic Review

Current Trends in Artificial Intelligence-Assisted Spine Surgery: A Systematic Review

Spine Surgery with Electronic Conductivity Device: A Prospectively Multicenter Randomized Clinical Trial and Literature Review

Deconstructing forearm casting task by videos with step-by-step simulation teaching improved performance of medical students: is making working student’s memory work better similar to a process of artificial intelligence or just an improvement of the prefrontal cortex homunculus?

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