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Beyond the Black Box: Is Artificial Intelligence Ready to Reshape Neurosurgical Decision‐Making? A Narrative Review

Aug 2026 · Health Science Reports · Vol 9 · 0 citations · 53 references
Medicine

TL;DR

This review critically examines whether AI is ready to reshape neurosurgical decision‐making, synthesizing current evidence while systematically analyzing technical, ethical, and regulatory barriers to clinical integration.

Abstract

Artificial intelligence (AI) is increasingly being integrated into neurosurgical practice, offering capabilities in diagnostic imaging, surgical planning, and outcome prediction. However, the “black box” nature of many AI systems generating recommendations without a transparent rationale poses fundamental challenges to adoption in a specialty defined by high‐stakes, irreversible interventions. This review critically examines whether AI is ready to reshape neurosurgical decision‐making, synthesizing current evidence while systematically analyzing technical, ethical, and regulatory barriers to clinical integration.

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