Revolutionizing Surgical Education: SDSC and Stanford University Join Forces for First AI-Powered Course

A woman with curly blonde hair, wearing glasses and a black top, smiling in front of a background featuring large stone columns.
Heather Masson-Forsythe
August 15, 2024
Two medical professionals in scrubs and protective gear are standing near a computer monitor displaying a surgical procedure, with additional screens and equipment visible in the background.

The Surgical Data Science Collective (SDSC) has partnered with Stanford University to offer a first of its kind course integrating live machine learning analytics with surgical practice. This multi-day intensive program in Endoscopic Cavernous Sinus Surgery,  organized by Dr. Juan Carlos Fernandez-Miranda, represents a significant leap forward in surgical education, combining advanced 3D anatomy instruction, AI-powered hands-on training, and live surgery demonstrations.

Dr. Daniel Donoho (SDSC Founder and President, left) and Margaux Masson-Forsythe (Director of Machine Learning, SDSC, right) visiting Stanford Medicine to support the first AI-powered surgical course. 

Designed for practicing surgeons and advanced residents seeking to refine their skills in complex skull base procedures, this course set out to redefine the landscape of surgical training. Participants dove deep into the intricacies of cavernous sinus anatomy and cutting-edge surgical techniques, all while benefiting from the latest advancements in artificial intelligence and machine learning.

(from left to right) Dr. Juan Carlos Fernandez-Miranda (Stanford Professor of Neurosurgery and, by courtesy, of Otolaryngology — Head & Neck Surgery), Margaux Masson-Forsythe (Director of Machine Learning, SDSC), and Dr. Daniel Donoho (SDSC Founder and President).

A New Era of Surgical Training

The collaboration between SDSC and Stanford University marks a significant milestone in the integration of artificial intelligence into surgical education. By using AI models to detect surgical tools and analyze dissection videos, the course offers a level of personalized feedback that was previously unattainable in traditional surgical training programs.

This AI-powered approach not only enhances the learning experience during the course but also provides surgeons with valuable data they can use for ongoing skill refinement. The ability to review their performance metrics and dissection videos at any time through their SDSC Surgical Video Platform (SVP) accounts ensures that the learning process extends far beyond the duration of the course.

Hands-On Learning with Cutting-Edge Technology

One of the course's highlights is the interactive cadaveric dissection session. Participants worked with lightly-embalmed head specimens, using state-of-the-art surgical equipment to perform complex procedures such as transpterygoid approaches, parasellar exposures, and transcavernous approaches to the interpeduncular cistern.

What's truly revolutionary is that participants will have ongoing access to their dissection videos through SVP personal accounts, allowing for continuous review and improvement long after the course has ended, and providing the opportunity to receive feedback from expert surgeons. 

Simulating High-Stakes Scenarios and AI integration

Leveraging AI for personalized learning, the course, entitled "Endoscopic Cavernous Sinus Surgery" is not your typical medical education program. It represents the first hands-on surgical course powered by AI, leveraging SDSC's expertise in surgical data science and Stanford's renowned medical faculty and facilities. SDSC’s SVP sets this course apart. An innovative tool, SVP employs machine learning analytics to provide personalized assessment. This platform analyzed live video of participants’ cadaveric dissections in real-time, detecting surgical tools and generating valuable statistics on instrument usage, flow patterns, and heat maps.

Dr. Juan Carlos Fernandez-Miranda (Stanford Professor of Neurosurgery and, by courtesy, of Otolaryngology — Head & Neck Surgery) with Dr. Michael Chang (Stanford Assistant Professor of Otolaryngology - Head & Neck Surgery) performing SDSC’s AI Internal Carotid Artery (ICA) injury simulation. Bounding boxes (green) track surgical tools on simulation video recordings. 

In a unique and highly valuable exercise, surgeons participated in a cadaver training session focused on managing internal carotid artery (ICA) injuries, and were able to engage with SDSC’s AI-driven video analytics. Cadaveric head specimens were perfused with an artificial blood substitute, and a deliberate injury to the ICA was made. Participants had five minutes per simulated session to manage this high-stakes complication, providing invaluable hands-on experience in a controlled environment. 

From these dissection station demonstrations, the SDSC team recorded ICA injury simulation videos, giving participants access to their recordings, analytics, and generated reports for the first time. Following privacy-preserving video de-identification, recordings were uploaded to SVP, and SDSC’s machine learning models were run on video feeds collected from the Storz endoscope. 

AI-driven analytics report generated from SDSC’s AI ICA injury simulation.

A Unique Opportunity for Surgical Advancement

The collaboration between SDSC and Stanford University opens doors for potential research partnerships and further innovations in surgical data science. This course represents more than just an educational opportunity; it was a chance for experienced pituitary and skull base surgeons to be at the forefront of technological advancements in their field. By participating, surgeons were not only investing in their own skills but also contributing to the broader advancement of surgical techniques and AI applications in medicine.

Dr. Daniel Donoho (SDSC Founder and President) presents “Surgical AI: Lessons Learned From The First 10,000 Video Clips” at Endoscopic Cavernous Sinus Surgery course for surgeons. 

As we stand on the brink of a new era in surgical training, this course serves as a cornerstone example of how artificial intelligence can be harnessed to enhance medical education and, ultimately, improve patient outcomes. For surgeons looking to stay at the forefront of their field, this innovative program offers an exciting glimpse into the future of surgical practice.

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