Abstract
Artificial intelligence (AI) has emerged as a promising technology that can revolutionize surgical decision-making (SDM). This comprehensive review aims to explore the current state of AI in SDM and highlight its benefits, challenges, and future directions. The integration of AI in SDM offers numerous advantages. AI algorithms can analyze medical images, such as radiographs, computed tomography scans, and magnetic resonance imaging, to detect abnormalities and assist in pre-operative assessments. By leveraging electronic health records, AI can provide personalized surgical recommendations based on patient-specific data.Additionally, AI can analyze genetic data to assess genetic predispositions and tailor treatment plans accordingly. Intra-operatively, AI can aid in real-time analysis of surgical videos and imaging, helping surgeons identify critical structures and guide precise incisions. AI algorithms can also monitor physiological indicators to detect early signs of complications and predict outcomes, improving intra-operative decision-making. Post-operatively, AI can analyze vital signs, imaging, and patient data to detect complications, provide outcomes analysis, and facilitate personalized patient care. However, challenges and limitations exist. Data quality and availability, interpretability of AI algorithms, data security, integration into surgical workflows, and regulatory considerations are important challenges. Addressing these challenges involves ensuring data privacy, developing transparent AI models, establishing robust infrastructure, engaging clinicians, and establishing regulatory frameworks. AI-powered surgical robots and systems can enhance surgical precision and automation. Improvements in interpretability and explainability foster trust and ethical considerations. Also, data sharing and collaboration advancements could refine AI algorithms' accuracy and generalizability. Personalized medicine and precision surgery are achieved through AI integration. Also, education and training could benefit from AI-powered decision support systems.