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BACKGROUND: The relentless integration of Artificial Intelligence (AI) into neurosurgery necessitates a meticulous exploration of the associated ethical concerns. This systematic review focuses on synthesizing empirical studies, reviews, and opinion pieces from the past decade, offering a nuanced understanding of the evolving intersection between AI and neurosurgical ethics. MATERIALS AND METHODS: Following PRISMA guidelines, a systematic review was conducted to identify studies addressing AI in neurosurgery, emphasizing ethical dimensions. The search strategy employed keywords related to AI, neurosurgery, and ethics. Inclusion criteria encompassed empirical studies, reviews, and ethical analyses published in the last decade, with English language restriction. Quality assessment using Joanna Briggs Institute tools ensured methodological rigor. RESULTS: Eight key studies were identified, each contributing unique insights to the ethical considerations associated with AI in neurosurgery. Findings highlighted limitations of AI technologies, challenges in data bias, transparency, and legal responsibilities. The studies emphasized the need for responsible AI systems, regulatory oversight, and transparent decision-making in neurosurgical practices. CONCLUSIONS: The synthesis of findings underscores the complexity of ethical considerations in the integration of AI in neurosurgery. Transparent and responsible AI use, regulatory oversight, and mitigation of biases emerged as recurring themes. The review calls for the establishment of comprehensive ethical guidelines to ensure safe and equitable AI integration into neurosurgical practices. Ongoing research, educational initiatives, and a culture of responsible innovation are crucial for navigating the evolving landscape of AI-driven advancements in neurosurgery.
Khan et al. (Sat,) studied this question.