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25-04-2024 | Artificial Intelligence | Review Article

The use of artificial intelligence in reconstructive surgery for head and neck cancer: a systematic review

Authors: Cyril Devault-Tousignant, Myriam Harvie, Eric Bissada, Apostolos Christopoulos, Paul Tabet, Louis Guertin, Houda Bahig, Tareck Ayad

Published in: European Archives of Oto-Rhino-Laryngology

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Abstract

Objectives

The popularity of artificial intelligence (AI) in head and neck cancer (HNC) management is increasing, but postoperative complications remain prevalent and are the main factor that impact prognosis after surgery. Hence, recent studies aim to assess new AI models to evaluate their ability to predict free flap complications more effectively than traditional algorithms. This systematic review aims to summarize current evidence on the utilization of AI models to predict complications following reconstructive surgery for HNC.

Methods

A combination of MeSH terms and keywords was used to cover the following three subjects: “HNC,” “artificial intelligence,” and “free flap or reconstructive surgery.” The electronic literature search was performed in three relevant databases: Medline (Ovid), Embase (Ovid), and Cochrane. Quality appraisal of the included study was conducted using the TRIPOD Statement.

Results

The review included a total of 5 manuscripts (n = 5) for a total of 7524 patients. Across studies, the highest area under the receiver operating characteristic (AUROC) value achieved was 0.824 by the Auto-WEKA model. However, only 20% of reported AUROCs exceeded 0.70. One study concluded that most AI models were comparable or inferior in performance to conventional logistic regression. The highest predictors of complications were flap type, smoking status, tumour location, and age.

Discussion

Some models showed promising results. Predictors identified across studies were different than those found in existing literature, showing the added value of AI models. However, the algorithms showed inconsistent results, underlying the need for better-powered studies with larger databases before clinical implementation.
Appendix
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Literature
2.
go back to reference Janiesch C, Zschech P, Heinrich K. Machine learning and deep learning. 2021. Janiesch C, Zschech P, Heinrich K. Machine learning and deep learning. 2021.
Metadata
Title
The use of artificial intelligence in reconstructive surgery for head and neck cancer: a systematic review
Authors
Cyril Devault-Tousignant
Myriam Harvie
Eric Bissada
Apostolos Christopoulos
Paul Tabet
Louis Guertin
Houda Bahig
Tareck Ayad
Publication date
25-04-2024
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-024-08663-4