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Review
. 2023 Jan 17:13:1116761.
doi: 10.3389/fonc.2023.1116761. eCollection 2023.

Artificial intelligence in improving the outcome of surgical treatment in colorectal cancer

Affiliations
Review

Artificial intelligence in improving the outcome of surgical treatment in colorectal cancer

Mihaela Flavia Avram et al. Front Oncol. .

Abstract

Background: A considerable number of recent research have used artificial intelligence (AI) in the area of colorectal cancer (CRC). Surgical treatment of CRC still remains the most important curative component. Artificial intelligence in CRC surgery is not nearly as advanced as it is in screening (colonoscopy), diagnosis and prognosis, especially due to the increased complexity and variability of structures and elements in all fields of view, as well as a general shortage of annotated video banks for utilization.

Methods: A literature search was made and relevant studies were included in the minireview.

Results: The intraoperative steps which, at this moment, can benefit from AI in CRC are: phase and action recognition, excision plane navigation, endoscopy control, real-time circulation analysis, knot tying, automatic optical biopsy and hyperspectral imaging. This minireview also analyses the current advances in robotic treatment of CRC as well as the present possibility of automated CRC robotic surgery.

Conclusions: The use of AI in CRC surgery is still at its beginnings. The development of AI models capable of reproducing a colorectal expert surgeon's skill, the creation of large and complex datasets and the standardization of surgical colorectal procedures will contribute to the widespread use of AI in CRC surgical treatment.

Keywords: annotated video banks; artificial intelligence; automated robotic surgery; colorectal cancer; endoscopy control; excision plane navigation; phase recognition.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
PRISMA 2020 flow diagram search (15).

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