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Details of Grant 

EPSRC Reference: EP/Y01958X/1
Title: AID-PitSurg: AI-enabled Decision support in Pituitary Surgery to reduce complications
Principal Investigator: Bano, Dr S
Other Investigators:
Marcus, Dr H Stoyanov, Professor D
Researcher Co-Investigators:
Project Partners:
Digital Surgery nVIDIA
Department: Computer Science
Organisation: UCL
Scheme: Standard Research - NR1
Starts: 02 October 2023 Ends: 01 April 2025 Value (£): 557,392
EPSRC Research Topic Classifications:
Artificial Intelligence Digital Signal Processing
EPSRC Industrial Sector Classifications:
Healthcare
Related Grants:
Panel History:
Panel DatePanel NameOutcome
11 Jul 2023 Artificial intelligence innovation to accelerate health research Expert Panel Announced
07 Jun 2023 Artificial intelligence innovation to accelerate health research Sift Panel D Announced
Summary on Grant Application Form
The pituitary is a small gland at the base of the brain that produces hormones that control several important bodily functions. Pituitary tumours are one of the most common types of brain tumours, where a symptomatic tumour can cause hormonal imbalances and other health problems. Transsphenoidal surgery is the gold standard treatment for most symptomatic pituitary tumours. This is a minimally invasive surgery as it is performed through the nostrils and nasal sinuses leaving no visible scars from the procedure.

Transsphenoidal surgery is challenging and high risk due to the narrow approach and proximity of critical neurovascular structures such as the optic nerves and carotid arteries, resulting in a relatively high rate of complications. The most common of these complications requiring medical or surgical treatment are dysnatraemia (related to pituitary dysfunction), and post-operative cerebrospinal fluid (CSF) rhinorrhoea (related to insufficient repair of the skull base). Thus, leading to increased hospitalization and recovery time with high risk of life-threatening conditions.

To reduce the risk of these complications, this research project aims to develop a real-time Artificial Intelligence (AI) assisted decision support framework that can understand the surgical procedure, predict surgical errors and identify intraoperative causes of complications. The AI model will recognise surgical steps, detect surgical instruments, and identify specific instrument-tissue interactions during the sellar phase (for dysnatraemia) and closure phase (for CSF rhinorrhoea) of the surgery. The framework will use multimodal data, including pre- and post-operative clinical data and surgical scene perception, to predict and alert the surgeon of any surgical errors and potential post-operative complications in real-time.

By developing this framework, the project aims to improve surgical outcomes by reducing the frequency of post-operative complications, shortening the length of hospital stays, and improving patients' recovery.
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