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Background: The increasing adoption of artificial intelligence (AI) and augmented reality (AR) within vascular neurosurgery has become a prominent trend. The primary challenge before us is seamlessly integrating these advanced concepts and developing them further to improve patient outcomes.
Methods: We combined peer-reviewed publications of our research group over the past 5 years with current research projects to form the basis of a narrative discussion, aiming to better understand drawbacks, challenges, and the developmental steps to be followed.
Results: Four developmental phases were identified: (1) the integration of AI and AR to create adequate three-dimensional (3D) segmentations; (2) adding flow and pulsatility data to create 5D segmentations; (3) treatment planning in these models; and (4) treatment guidance using these models. The main drawback described was the limited added value in the microscopic phase of neurovascular surgery due to view obstructions and a lack of accuracy. The main challenge described was the current limitation in computational and graphical processing capabilities.
Conclusion: Although drawbacks and challenges still exist, AI and AR are rapidly developing topics within vascular neurosurgery. The research in this field could lay the groundwork for fully automatized treatment strategies in the future.
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http://dx.doi.org/10.1007/978-3-031-89844-0_20 | DOI Listing |
Eur J Orthop Surg Traumatol
September 2025
Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Background: To analyze penetrating extremity injuries at a Scandinavian urban Level-1 trauma center regarding incidence, mechanism of injury, imaging approach and clinical outcome.
Methods: A retrospective study (2013-2016) of penetrating injuries to the extremities based on a Trauma Registry. Retrieved variables included patient demographics, injury characteristics, time to CT and 30-day morbidity.
BMJ Case Rep
September 2025
Neurosurgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
Vein of Galen malformation (VGM) is an uncommon vascular anomaly, with spontaneous thrombosis within it being exceedingly rare. This case report describes a paediatric patient in early adolescence who presented with a 15-day history of holocranial headache and vomiting. Examination revealed significant papilloedema, and imaging confirmed a thrombosed VGM causing upstream hydrocephalus.
View Article and Find Full Text PDFWorld Neurosurg
September 2025
Department of Neurosurgery, Bahcesehir Universty School of Medicine, Istanbul, Turkey. Electronic address:
Background And Objectives: The endoscopic endonasal approach (EEA) has become a key surgical method for managing midline skull base lesions, offering minimally invasive access with reduced morbidity. One of the most significant complications following EEA is cerebrospinal fluid (CSF) leakage, especially in high-flow cases. Based on over two decades of institutional experience with 6,221 EEA procedures, this study aims to categorize and evaluate standardized reconstruction strategies based on intraoperative CSF flow rates in order to optimize outcomes and reduce postoperative complications.
View Article and Find Full Text PDFObjective: .Aim: To investigate the pathomorphological changes in the terminal chorionic villi during COVID-19 in pregnant women.
Patients And Methods: Materials and Methods: A total of 123 placentas were studied in cases of live term births (groups І) and antenatal asphyxia (groups ІІ).
Angiogenesis
September 2025
Division of Plastic Surgery, Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA.
Vascularization of implanted biomaterials is critical to reconstructive surgery and tissue engineering. Ultimately, the goal is to promote a rapidly perfusable hierarchical microvasculature that persists with time and can meet underlying tissue needs. We have previously shown that using a microsurgical technique, termed micropuncture (MP), in combination with porous granular hydrogel scaffolds (GHS) fabricated via interlinking hydrogel microparticles (microgels) results in a rapidly perfusable patterned microvasculature.
View Article and Find Full Text PDF