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A Multidisciplinary Update on Treatment Modalities for Metastatic Spinal Tumors With a Surgical Emphasis: A Literature Review and Evaluation of the Role of Artificial Intelligence Publisher



Houston R1 ; Desai S2 ; Takayanagi A3 ; Quynh Thu Tran C4 ; Mortezaei A5 ; Oladaskari A6 ; Sourani A7, 8 ; Siddiqi I3 ; Khodayari B9 ; Ho A10 ; Hariri O1, 4, 10, 11, 12
Authors
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Authors Affiliations
  1. 1. Department of Neurosurgery, Arrowhead Regional Medical Center, 400 N Pepper Ave, Colton, 92324, CA, United States
  2. 2. Department of Neurosurgery, Ascension Providence Hospital, 16001 W Nine Mile Rd, Southfield, 48075, MI, United States
  3. 3. Department of Neurosurgery, Riverside University Health System, 26520 Cactus Ave, Moreno Valley, 92555, CA, United States
  4. 4. Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S Los Robles Ave, Pasadena, 91101, CA, United States
  5. 5. Student Research Committee, Gonabad University of Medical Sciences, Razavi Khorasan, Gonabad, 9P67+R29, Iran
  6. 6. School of Biological Sciences, University of California Irvine, 402 Physical Sciences Quad, Irvine, 92697, CA, United States
  7. 7. Department of Neurosurgery, Isfahan University of Medical Sciences, Hezar Jerib Avenue, Isfahan, Isfahan, JM76+5M3, Iran
  8. 8. Environment Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Hezar Jerib Avenue, Isfahan, Isfahan, JM76+5M3, Iran
  9. 9. Department of Radiation Oncology, Kaiser Permanente Los Angeles Medical Center, 4867 W Sunset Blvd, Los Angeles, 90027, CA, United States
  10. 10. Department of Neurological Surgery, Kaiser Permanente Orange County, 3440 E La Palma Ave, Anaheim, 92806, CA, United States
  11. 11. Department of Surgery, Western University of Health Sciences, 309 E 2nd St, Pomona, 91766, CA, United States
  12. 12. Department of Orthopedic Surgery, University of California Irvine School of Medicine, 1001 Health Sciences Rd, Irvine, 92617, CA, United States

Source: Cancers Published:2024


Abstract

Spinal metastases occur in up to 40% of patients with cancer. Of these cases, 10% become symptomatic. The reported incidence of spinal metastases has increased in recent years due to innovations in imaging modalities and oncological treatments. As the incidence of spinal metastases rises, so does the demand for improved treatments and treatment algorithms, which now emphasize greater multidisciplinary collaboration and are increasingly customized per patient. Uniquely, we discuss the potential clinical applications of AI and NGS in the treatment of spinal metastases. Material and Methods: A PubMed search for articles published from 2000 to 2023 regarding spinal metastases and artificial intelligence in healthcare was completed. After screening for relevance, the key findings from each study were summarized in this update. Results: This review summarizes the evidence from studies reporting on treatment modalities for spinal metastases, including minimally invasive surgery (MIS), external beam radiation therapy (EBRT), stereotactic radiosurgery (SRS), CFR-PEEK instrumentation, radiofrequency ablation (RFA), next-generation sequencing (NGS), artificial intelligence, and predictive models. © 2024 by the authors.
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