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63건 · 최신순-
Exploring breast implant illness and its comorbid conditions: A systematic review & meta-analysis.
[INTRODUCTION] Despite growing interest, there is scarce literature that describes the comorbid conditions and presenting symptoms that can manifest with or potentially as breast implant illness (BII). This review aims to address this gap. …
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Artificial Intelligence for Patient Support: Assessing Retrieval-Augmented Generation for Answering Postoperative Rhinoplasty Questions.
[BACKGROUND] Although artificial intelligence (AI) is revolutionizing healthcare, inaccurate or incomplete information from pretrained large language models (LLMs) like ChatGPT poses significant risks to patient safety. Retrieval-augmented …
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Enhancing Clinical Decision Support with Adaptive Iterative Self-Query Retrieval for Retrieval-Augmented Large Language Models.
Retrieval-Augmented Generation (RAG) offers a promising strategy to harness large language models (LLMs) for delivering up-to-date, accurate clinical guidance while reducing physicians' cognitive burden, yet its effectiveness hinges on quer…
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Invited Response to "Artificial Intelligence in Rhinoplasty: Precision or Over-Reliance?".
The integration of artificial intelligence (AI) into surgical practice demands critical reflection-not only on its capabilities, but also on its appropriate role. We appreciate De Bernardis et al. for raising essential concerns about the li…
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Comparative Evaluation of Advanced Chunking for Retrieval-Augmented Generation in Large Language Models for Clinical Decision Support.
Retrieval-augmented generation (RAG) quality depends on how source documents are segmented before indexing; fixed-length chunks can split concepts or add noise, reducing precision. We evaluated whether proposition, semantic, and adaptive ch…
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The future of wearable ergonomic devices in plastic surgery: A systematic review.
[BACKGROUND] Throughout the last decade, surgeons across specialties are increasingly using wearable support devices to minimize occupational discomfort during procedures. However, there is still a paucity of their use in plastic surgery. T…
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The Current Landscape of Artificial Intelligence in Plastic Surgery Education and Training: A Systematic Review.
[OBJECTIVE] Artificial intelligence (AI) shows promise in surgery, but its role in plastic surgery education remains underexplored. This review evaluates the current landscape of AI in plastic surgery education. [DESIGN] A systematic searc…
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Utilizing Generative Text-to-Image Artificial Intelligence Models to Explore Race, Gender, and Age in Plastic and Aesthetic Surgery.
[BACKGROUND] It is unclear how representative and inclusive of various patient populations generative text-to-image artificial intelligence (AI) models are. [OBJECTIVES] This project explores the diversity of race, gender, and age in the i…
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Man Versus Machine: A Comparative Study of Human and ChatGPT-Generated Abstracts in Plastic Surgery Research.
[BACKGROUND] Since its 2022 release, ChatGPT has gained recognition for its potential to expedite time-consuming writing tasks like scientific writing. Well-written scientific abstracts are essential for clear and efficient communication of…
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The Evolving Role of Artificial Intelligence in Plastic Surgery Education: Insights From Program Directors and Residents.
[OBJECTIVE] To assess the current state of artificial intelligence (AI) policies, educational resources, and perceptions within U.S. plastic surgery residency programs from the perspectives of program directors (PDs) and residents. [DESIGN…
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Evaluating Large Language Model (LLM) Performance on Established Breast Classification Systems.
Medical researchers are increasingly utilizing advanced LLMs like ChatGPT-4 and Gemini to enhance diagnostic processes in the medical field. This research focuses on their ability to comprehend and apply complex medical classification syste…
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Large Language Models for Intraoperative Decision Support in Plastic Surgery: A Comparison between ChatGPT-4 and Gemini.
Large language models (LLMs) are emerging as valuable tools in plastic surgery, potentially reducing surgeons' cognitive loads and improving patients' outcomes. This study aimed to assess and compare the current state of the two most common…
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Sensor technology and machine learning to guide clinical decision making in plastic surgery.
Subjective clinical evaluations are deeply rooted in medical practice. Recent advances in sensor technology facilitate the acquisition of extensive amounts of objective physiological data that can serve as a surrogate for subjective assessm…
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Preoperative Analysis of Venous Anatomy Before Deep Inferior Epigastric Perforator Free-Flap Breast Reconstruction Using Ferumoxytol-enhanced Magnetic Resonance Angiography.
[BACKGROUND] Venous congestion after deep inferior epigastric artery perforator (DIEP) flap breast reconstruction is a complication that may be partially attributable to variations in venous abdominal wall anatomy. In previous work, we have…
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A Review on the Management of Peripheral Neuropathic Pain Following Breast Cancer.
Postmastectomy pain syndrome (PMPS) is a common and debilitating form of postsurgical pain with neuropathic characteristics, presenting as burning, stabbing, or pulling sensations after mastectomy, lumpectomy, or other breast procedures. Wi…
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High Satisfaction With a Virtual Assistant for Plastic Surgery Frequently Asked Questions.
[BACKGROUND] Most of a surgeon's office time is dedicated to patient education, preventing an appropriate patient-physician relationship. Telephone-accessed artificial intelligent virtual assistants (AIVAs) that simulate a human conversatio…
- Advocating for breast cancer reconstructive surgery access in the United States.
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Evaluating the exoscope as an alternative to the operating microscope in plastic surgery.
[BACKGROUND] Microsurgery is most commonly used in the anastomosis of vessels, flap harvesting, lymphedema, and nerve reconstruction, among others. During the 1920s the first microscope was invented by Nylen and Holmgren, quickly becoming t…
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Effect of health care disparities on procedure selection of autologous breast reconstruction in Florida.
[INTRODUCTION] Disparities in access to reconstructive surgery after breast cancer have been reported. We aim to evaluate demographic and socioeconomic factors influencing type of autologous breast reconstruction in Florida. [METHODS] We q…
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The Versatility of the DCIA Free Flap: A Forgotten Flap? Systematic Review and Meta-Analysis.
[BACKGROUND] Studies reporting on the deep circumflex iliac artery (DCIA) free flap are restricted to a limited number of patients and areas of application. The aim of this review was to assess the reliability and versatility of the DCIA f…
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Great Toe Transplantation.
Despite being relatively uncommon in the general population, thumb amputations cause severe disability. More than 3,300 thumb amputations occurred in the United States. The thumb makes up around 40% of the function of the hand. Therefore, l…
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Common practices in patient care after mammaplasty and perioperative safety measures to prevent thromboembolic events - An observational study across all continents.
[BACKGROUND] Most plastic surgeons have encountered complications related to venous thromboembolism in their profession. However, considerable deficits in risk assessment and prophylaxis have been described. As outpatient procedures are inc…
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Breast Resection Weight Prediction and Insurance Reimbursement in Reduction Mammaplasty: Which Scale Is Reliable?
[BACKGROUND] Many insurance companies in the United States rely on the Schnur sliding scale to predict resection weights to determine medical necessity for breast reduction surgery. Accurate methods to predict resection weights are needed t…
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Simulation and Artificial Intelligence in Rhinoplasty: A Systematic Review.
[BACKGROUND] Rhinoplasty is one of the most popular cosmetic procedures. The complexity of the nasal structure and the substantial aesthetic and functional impact of the operation make rhinoplasty very challenging. The past few years have w…
- Public Perceptions on Breast Implant-Associated Anaplastic Large Cell Lymphoma.
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The Goldilocks Procedure with and without Implant-Based Immediate Breast Reconstruction in Obese Patients: The Mayo Clinic Experience.
[BACKGROUND] Obesity is a risk factor for complications in breast reconstruction. Thus, implant-based immediate breast reconstruction in obese women may be controversial. The authors analyzed obese patients who underwent skin-sparing mastec…
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Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review.
[BACKGROUND] Vascularized omental lymphatic transplant (VOLT) is an increasingly popular treatment of extremity lymphedema given its promising donor site. While the success of VOLT in the treatment of lymphedema has been reported previously…
- Efficiency in DIEP Flap Breast Reconstruction: The Real Benefit of Computed Tomographic Angiography Imaging.
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Umbilical Reconstruction Techniques: A Literature Review.
[BACKGROUND] There are many instances in which sacrificing the umbilicus is unavoidable. Umbilical reconstruction (umbiliconeoplasty) is an important surgical procedure to complete the abdomen's reconstruction and to give again a pleasant c…
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How to Approach Secondary Breast Reduction: International Trends and a Systematic Review of the Literature.
[BACKGROUND] Secondary breast reduction is complex and poses significant challenges to surgeons. Complication rates exceed those of primary reduction, commonly caused by impaired vascular supply of the nipple-areolar complex (NAC). Literatu…