The Surgeon's J.A.R.V.I S
Bile duct injuries during a laparoscopic cholecystectomy are an important cause of morbidity after this commonly performed surgical procedure. Proper identification of the structures and obtaining a critical view of safety have been universally regarded as crucial to preventing these injuries.
Difficult gallbladder surgeries, where a critical view cannot be obtained are any surgeon's nightmare. Most surgeons have another surgeon look at the anatomy in this instance. However, this may not be always possible. The app provides a fresh set of eyes to look at this anatomy and tell the surgical team in real time whether structures have been safely identified and critical view has been obtained.
The tool gives you a probability for correct identification. While a higher probability indicates a greater confidence, the surgeon is still encouraged to use his judgement and other resources at his disposal before making decisions. The tool can identify anatomy on live surgical feed on a laparoscopic monitor, as well as use single images.
The model has been trained using Google's machine learning algorithms. It works in the same way a Tesla car identifies roadmarks and roadsigns while on auto-pilot. The only caveat is that human anatomy identification is far more complex and training machines will take more data and time. But trust us, we will get there. While the platform is already functional, every image you take will make the AI better.
The latest version of the app also directly identifies the correct areas for dissection by identifying zones in a live video which depict areas which should not be touched (eg: common bile duct), areas that need to be dissected carefully (eg: hepatocystic triangle) and areas which can be dissected with less care (eg: the gallbladder bed)
For those of you who are still wondering, J.A.R.V.I.S is an acronym for "Just Another Rather Very Intelligent System' coined by Tony Stark from the Marvel Cinematic Universe. JARVIS was named after Stark family's loyal household butler and aided Stark who was well known for his distracted nature and inability to follow instructions, despite being a genius.
Includes object tracking technology
Ratings and Reviews
Is accurate most of the time, but slight motion of the camera or organs can skew the results. Also, the app identifies anatomy well only when the gb is lifted up and retracted laterally. This technology is probably one of the biggest advances of our times. Glad to be a part of it.
Way ahead of our times
The future of surgery is here!
Waste of your time, money and effort
This app will look at a still or video image and tell you the percent chance that it contains a critical view. Doesn’t tell you how to improve the view or your dissection. What can you do with a single number telling you that your image is 63% likely to be a critical view. In addition, the user interface would not get a passing grade in an Intro to CS course. Bad idea, bad interface, bad implementation. Don’t make the same $9.99 mistake I made.
Developer Response ,
The app recognizes live videos as well. In fact, we recommend that you use live videos as the AI gets more context. Also, the app recognizes anatomy as well - gallbladder, cystic duct, CBD (when seen), duodenum and Rouviere’s sulcus. The app is not just about critical view.
63% critical view means it’s a pretty bad critical view. If you look at the app description, we don’t tell the app teaches you how to get or improve a critical view. You should get numbers close to 100%, ideally above 80-90%. You are supposed to know how to get a critical view as a surgeon. But we will tell you how to get it - by clearing more of the Calot’s triangle and more of the gallbladder off its bed so you see only two structures entering the gallbladder and no structure going from the gallbladder to the liver.
We also say the app needs more data before it can perform better than experienced surgeons. But it still does a good job. Your comment is only a discouragement to emerging technologies.
Apart from that, we did not realize there would be a need for the AI to help improve the critical view as we thought the surgeon should be able to figure this out. We will think of this as an interesting addition for subsequent versions, if others feel the same way. We have the capability to add this.
Overall, this review poorly defines or evaluates the function of the app but we will let it stand to clear any misconceptions.
Data Not Collected
The developer does not collect any data from this app.
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- Best Surgical Education, LLC
- 78.7 MB
- Requires iOS 13.4 or later.
- Requires iPadOS 13.4 or later.
- iPod touch
- Requires iOS 13.4 or later.
- Requires macOS 11.0 or later and a Mac with Apple M1 chip or later.
- Age Rating
- 17+ Frequent/Intense Medical/Treatment Information
- © Best Surgical Education, LLC 2020
- In-App Purchases
- Cholecystectomy AI Yearly $49.99