Acta Neurochirurgica
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#1Vittorio Stumpo (UZH: University of Zurich)H-Index: 4
#2Victor E. Staartjes (UZH: University of Zurich)H-Index: 17
Last. Carmelo Lucio SturialeH-Index: 19
view all 7 authors...
Machine learning (ML) is a rapidly rising research tool in biomedical sciences whose applications include segmentation, classification, disease detection, and outcome prediction. With respect to traditional statistical methods, ML algorithms have the potential to learn and improve their predictive performance when fed with large data sets without the need of being specifically programmed. In recent years, this technology has been increasingly applied for tackling clinical issues in intracranial ...
#1Elie Massaad (Harvard University)H-Index: 7
#2Yoon Ha (Yonsei University)H-Index: 27
Last. John H. Shin (Harvard University)H-Index: 29
view all 4 authors...
Artificial intelligence is poised to influence various aspects of patient care, and neurosurgery is one of the most uprising fields where machine learning is being applied to provide surgeons with greater insight about the pathophysiology and prognosis of neurological conditions. This chapter provides a guide for clinicians on relevant aspects of machine learning and reviews selected application of these methods in intramedullary spinal cord tumors. The potential areas of application of machine ...
#1Julius M. Kernbach (RWTH: RWTH Aachen University)H-Index: 6
#2Victor E. Staartjes (UZH: University of Zurich)H-Index: 17
We review the concept of overfitting, which is a well-known concern within the machine learning community, but less established in the clinical community. Overfitted models may lead to inadequate conclusions that may wrongly or even harmfully shape clinical decision-making. Overfitting can be defined as the difference among discriminatory training and testing performance, while it is normal that out-of-sample performance is equal to or ever so slightly worse than training performance for any ade...
#1Tiit Mathiesen (KUH: Copenhagen University Hospital)H-Index: 2
#2Marike L. D. Broekman (LUMC: Leiden University Medical Center)H-Index: 31
When new technology is introduced into healthcare, novel ethical dilemmas arise in the human-machine interface. As artificial intelligence (AI), machine learning (ML) and big data can exhaust human oversight and memory capacity, this will give rise to many of these new dilemmas.Technology has little if any ethical status but is inevitably interwoven with human activity and thus may serve to allow qualitative and quantitative disruption of human performance and interaction. We argue that personal...
#1Daisuke Maruyama (Kyoto Prefectural University of Medicine)H-Index: 3
#2Masataka Nanto (Kyoto Prefectural University of Medicine)H-Index: 2
Last. Naoya Hashimoto (Kyoto Prefectural University of Medicine)H-Index: 27
view all 8 authors...
Balloon test occlusion (BTO) can predict the ischemic complication risk associated with arterial occlusion. We present a case of an unruptured, broad-necked internal carotid artery-posterior communicating artery (PcomA) aneurysm that was successfully embolized after super-selective BTO of fetal PcomA with electrophysiological monitoring. The proximal portion of the PcomA was internally occluded without causing major neurological deficits, although we observed a small new infarction in the ipsila...
#1Ryuhei TakeyamaH-Index: 1
#2Kenji FukudaH-Index: 8
Last. Tooru Inoue (Fukuoka University)H-Index: 28
view all 7 authors...
Several vaccines have been approved worldwide for the prevention of morbidity and mortality against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, the development of these vaccines has raised concerns regarding their adverse effects. Herein, we report the first case of intracerebral hemorrhage (ICH) due to vasculitis after the first dose of mRNA vaccine (BNT162b2, Pfizer/BioN-Tech). Although this case cannot demonstrate a direct relationship between COVID-19 vaccination a...
#1George SamandourasH-Index: 5
#1Goetz BenndorfH-Index: 14
#1Jarnail Bal (Barts Health NHS Trust)H-Index: 1
#2Michaël Bruneau (VUB: Vrije Universiteit Brussel)H-Index: 1
Last. Dimitrios Paraskevopoulos (Barts Health NHS Trust)H-Index: 6
view all 15 authors...
BACKGROUND Non-vestibular schwannomas are relatively rare, with trigeminal and jugular foramen schwannomas being the most common. This is a heterogeneous group which requires detailed investigation and careful consideration to management strategy. The optimal management for these tumours remains unclear, and there are several controversies. The aim of this paper is to provide insight into the main principles defining management and surgical strategy, in order to formulate a series of recommendat...
#1Liang Zhang (NKU: Nankai University)H-Index: 2
#2Teng Li (PLAGH: Chinese PLA General Hospital)H-Index: 6
Last. Xinguang Yu (NKU: Nankai University)H-Index: 1
view all 6 authors...
BACKGROUND Primary spinal pilocytic astrocytoma (PA) is an extremely rare low-grade astrocytoma with unclear natural history. The demographic characteristics, imaging features, and long-term surgical outcomes have not been clarified due to low prevalence and limited reports. METHODS A retrospective review within a single institution between 2004 and 2018 of all patients with pathologically proven PA was conducted. Patient data including demographics, radiographic features, treatment modalities, ...
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