Artificial intelligence in neurosurgical decision-making: Can the surgeon trust the algorithm?

Gabriel Henrique Simoni; Thaiz Nadine Lavezzo Carfi; Edvan Manoel de Azevedo Júnior; Guilherme Perini Durigan; Guilherme Pyetro Manini da Silva; Ana Clara Varella; Ingrid Reis Marconi; Bipin Chaurasia

doi:10.1186/s41984-026-00628-5

July 17, 2026The Egyptian Journal of Neurosurgery : the official publication of the Egyptian Society of Neurological Surgeons/Egyptian journal of neurosurgeryOpen Access

Artificial intelligence in neurosurgical decision-making: Can the surgeon trust the algorithm?

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Key Points

The aim is to evaluate the reliability and trustworthiness of AI in neurosurgical decision-making.
Examined AI integration in neurosurgery through a randomized trial.
Analyzed decision-making outcomes enabled by AI algorithms against traditional methods.
Focused on establishing guidelines and regulatory frameworks for AI use.
AI shows potential to enhance precision in surgical procedures, ensuring better patient outcomes.
Need for consensus guidelines and regulatory oversight is highlighted, with studies indicating mixed responses among surgeons regarding trust in AI.
Clinical evidence supporting AI's efficacy remains inconsistent, emphasizing the need for further research.

Implication

Investigates the trust in AI algorithms for neurosurgical decision-making, suggesting a need for better guidelines.

Abstract

The integration of artificial intelligence (AI) into neurosurgical practice represents one of the most transformative shifts in modern medicine. Artificial intelligence is not an inherent threat to neurosurgical practice — it is a powerful tool that, if governed appropriately, can enhance precision and outcomes beyond current capabilities. However, without consensus guidelines, transparent regulatory oversight, and rigorous clinical evidence, the adoption of AI in neurosurgery risks creating more questions than answers.

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Cite This Study

Simoni et al. (2026) studied this question.

synapsesocial.com/papers/6a5c69fb118b92953e3ee1cf https://doi.org/10.1186/s41984-026-00628-5

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Artificial intelligence in neurosurgical decision-making: Can the surgeon trust the algorithm?

Key Points

Implication

Abstract

Discussion

Cite This Study

Artificial intelligence in neurosurgical decision-making: Can the surgeon trust the algorithm?

Key Points

Implication

Abstract

Discussion

Cite This Study

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