日本神经外科面临着挑战,例如神经外科医生的数量下降以及他们在城市地区的集中度。特别是在农村地区,为有条件的患者提供神经外科护理,如中风,是有限的,引发了人们对区域医疗保健崩溃的担忧。近年来机器人辅助手术技术取得了进步,有助于提高深部脑部手术的精度和安全性。这项研究为日本提出了“人工智能(AI)和机器人辅助手术月球射击计划”,包括五个支柱:1)建立区域医疗中心,2)远程手术系统的开发,3)加强机器人辅助手术培训计划,4)整合人工智能技术,5)促进产学研政府合作。此外,加强脊柱手术的方法有望振兴区域医疗中心,优化神经外科医生的数量,提高手术技能,并推广微创手术。本研究通过文献综述和统计分析,分析了日本神经外科的现状和挑战。人工智能用于神经外科的各个方面,包括诊断支持,手术规划和导航,治疗结果预测,术中监测,机器人辅助手术,和康复。然而,挑战,例如数据偏差,伦理问题,成本,和法规,remain.在日本,诸如神经外科医生分布不均和衰落等问题,区域医疗保健的崩溃,并强调了由于衰老导致的脊柱疾病患者数量的增加。“人工智能和机器人辅助手术月球射击计划”是克服日本神经外科挑战并建立可持续医疗系统的指南。
Japanese neurosurgery faces challenges such as a declining number of neurosurgeons and their concentration in urban areas. Particularly in rural areas, access to neurosurgical care for patients with conditions, such as stroke, is limited, raising concerns about the collapse of regional healthcare. Robot-assisted surgical technologies have advanced in recent years, contributing to the improved precision and safety of deep brain surgery. This study proposes the \"Artificial Intelligence (AI) and Robot-Assisted Surgery Moonshot Plan\" for Japan, comprising five pillars: 1) establishment of regional medical centers, 2) development of remote surgery systems, 3) enhancement of robotic-assisted surgery training programs, 4) integration of artificial intelligence technologies, and 5) promotion of industry-academia-government collaboration. In addition, strengthening the approach to spinal surgery is expected to revitalize regional medical centers, optimize the number of neurosurgeons, improve surgical skills, and promote minimally invasive surgery. This study analyzed the current status and challenges of Japanese neurosurgery through a literature review and statistical analysis. AI is used in various aspects of neurosurgery, including diagnostic support, surgical planning and navigation, treatment outcome prediction, intraoperative monitoring, robot-assisted surgery, and rehabilitation. However, challenges, such as data bias, ethical issues, costs, and regulations, remain. In Japan, issues such as the uneven distribution and decline of neurosurgeons, collapse of regional healthcare, and increase in the number of patients with spinal disorders due to aging have been highlighted. The \"AI and Robot-Assisted Surgery Moonshot Plan\" serves as a guide to overcome the challenges of neurosurgery in Japan and establish a sustainable medical system.