Anatomical recognition artificial intelligence for identifying the recurrent laryngeal nerve during endoscopic thyroid surgery: A single‐center feasibility study

Abstract Background We investigate the feasibility of using artificial intelligence (AI) to identify the recurrent laryngeal nerve (RLN) during endoscopic thyroid surgery and evaluated its accuracy. Methods In this retrospective study, we develop an AI model using a dataset of endoscopic thyroid sur...

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Main Authors: Yukio Nishiya, Kazuto Matsuura, Tateo Ogane, Kazuyuki Hayashi, Yumi Kinebuchi, Hirotaka Tanaka, Wataru Okano, Toshifumi Tomioka, Takeshi Shinozaki, Ryuichi Hayashi
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Laryngoscope Investigative Otolaryngology
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Online Access:https://doi.org/10.1002/lio2.70049
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Summary:Abstract Background We investigate the feasibility of using artificial intelligence (AI) to identify the recurrent laryngeal nerve (RLN) during endoscopic thyroid surgery and evaluated its accuracy. Methods In this retrospective study, we develop an AI model using a dataset of endoscopic thyroid surgery videos, including hemithyroidectomy procedures performed between April 2019 and September 2023 at the National Cancer Center Hospital East, Chiba, Japan. Semantic segmentation deep learning methods were applied to analyze the endoscopic thyroid surgery videos. Results Forty endoscopic thyroid surgery videos, all in high definition or better quality, were analyzed. The Dice values were 0.351, 0.568, and 0.746 for the inferior thyroid artery, RLN, and trachea, respectively. Data augmentation was performed by cropping, standardizing, and resizing to reduce false positives and improve accuracy. Conclusions The AI model showed high recognition accuracy of the RLN and trachea. This method holds potential for assisting in future cervical gasless endoscopic surgeries.
ISSN:2378-8038