Evidence map›Paper›PMID 40944744›Full record

ArticleSurgical endoscopy2025

Artificial intelligence-supported system of surgical anatomy recognition may facilitate the understanding of gastrointestinal surgery for medical students.

Shintaro Okumura, Shigeru Tsunoda, Shigeo Hisamori, Shoichi Kitano, Kohei Ueno, Masazumi Sakaguchi, Yu Yoshida, Takashi Sakamoto, Takehito Yamamoto, Ryosuke Okamura and 6 more

Abstract read
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Artificial intelligence-based anatomical recognition improves surgeon decision-making during robotic gastrectomy.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Shintaro OkumuraDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan. sokumura@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-1480-4101
Shigeru TsunodaDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Shigeo HisamoriDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Shoichi KitanoDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Kohei UenoDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Masazumi SakaguchiDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Yu YoshidaDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Takashi SakamotoDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Takehito YamamotoDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Ryosuke OkamuraDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Keiko KasaharaDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Masahiro MaedaDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Nobuaki HoshinoDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Yoshiro ItataniDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Koya HidaDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Kazutaka ObamaDepartment of Gastrointestinal Surgery, Kyoto University Hospital, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the high accuracy of artificial intelligence (AI) for recognizing surgical anatomy has been reported, its effective usage remains unclear. In this study, we investigated the utility of AI in surgical education for medical students.

methodsFifth-grade medical students were recruited to investigate the educational utility of EUREKA™. After an introductory lecture, they watched a video of distal gastrectomy with or without the suggestion of the connective tissue and the pancreas by EUREKA™ and then drew dissection lines in still images captured from the video. The distance between the lines drawn by students and the optimal dissection line determined by an expert surgeon was integrated to evaluate how well the students appropriately recognized the dissection line. Students filled out questionnaires after the study. A total of 45 operative video frames from radical gastrectomies performed with three different robotic systems were analyzed. The accuracy of the EUREKA™ recognition of the connective tissue and the pancreas was assessed using Dice and Intersection over Union (IoU) as a measurement tool.

resultsTwelve students participated in the study, and nine students drew dissection lines. All students completed questionnaires. The students could recognize dissection lines more appropriately with the EUREKA™ suggestion, and the deviations between the dissection lines drawn by the students and the optimal dissection lines were significantly reduced. From the questionnaires completed by the students, eight students agreed with the possibility of AI to facilitate their understanding of the operation, and two students agreed with the potential of AI to increase the number of medical students who choose gastrointestinal surgery as their career. There were no differences in the DICE and IoU scores of the connective tissue and the pancreas between the three robotic systems, suggesting the versatility of the EUREKA™ system.

conclusionAI may facilitate students' understanding of surgery.

Indexed as

Artificial IntelligenceEducation, Medical, UndergraduateGastrectomyDissectionFemaleHumansMaleRobotic Surgical ProceduresStudents, MedicalArtificial intelligenceEducation for medical studentsSurgical education

Identifiers

PMID40944744
PMCPMC12500820

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.