Narrative review on applications of artificial intelligence in vascular trauma

Objective: Artificial intelligence (AI) applications in vascular trauma are vast and revolutionizing the approach to patient care. AI has demonstrated to have potential to aid in complex medical decision-making across the continuum of trauma care from injury prognostication and prehospital triage, t...

Full description

Saved in:
Bibliographic Details
Main Authors: Zachary Tran, MD, Michael C. Wilkinson, MD, Glenn Guardamondo, MD, Mohamed H. El-Farra, MD, MS, Allan B. Peetz, MD, Roger T. Tomihama, MD, MBA, Sharon C. Kiang, MD
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:JVS-Vascular Insights
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2949912725000856
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849390646359490560
author Zachary Tran, MD
Michael C. Wilkinson, MD
Glenn Guardamondo, MD
Mohamed H. El-Farra, MD, MS
Allan B. Peetz, MD
Roger T. Tomihama, MD, MBA
Sharon C. Kiang, MD
author_facet Zachary Tran, MD
Michael C. Wilkinson, MD
Glenn Guardamondo, MD
Mohamed H. El-Farra, MD, MS
Allan B. Peetz, MD
Roger T. Tomihama, MD, MBA
Sharon C. Kiang, MD
author_sort Zachary Tran, MD
collection DOAJ
description Objective: Artificial intelligence (AI) applications in vascular trauma are vast and revolutionizing the approach to patient care. AI has demonstrated to have potential to aid in complex medical decision-making across the continuum of trauma care from injury prognostication and prehospital triage, to initial evaluation and postoperative surveillance. AI’s transformative footprint is guiding the way in the era of “big data.” The present review seeks to provide a comprehensive overview of the current applications of AI in vascular trauma management, provide awareness for future directions in this field, and discuss limitations to its widespread adoption. Methods: A narrative review of full text articles evaluating AI-based interventions in vascular trauma from inception to 2025 was performed. Results: Our review focuses on the AI applications in vascular trauma in three specific domains of vascular trauma: blunt cerebrovascular injury, traumatic amputation and peripheral arterial injury, and blunt thoracic aortic injury. Present work thus far has focused on outcome prognostication compared with pre-existing and historic models. We also describe several studies that discuss leveraging AI’s strengths in identifying injury risk factors that may not be readily clinically apparent. Advances in computational surgery with the aid of AI in complex endovascular repair has improved precision that has seen promise in improving outcomes. Future applications of AI may help improve trauma resuscitation, access to care, and survivorship. Current limitations to widespread adoption include the need for integration into time-sensitive clinical care processes, lack of familiarity, and the required technical expertise to build and maintain AI models. Conclusions: Current applications of AI in vascular trauma have demonstrated important utility to benefit patient care with a wide range of influence. As current barriers are addressed, clinicians can expect AI applications in vascular trauma to flourish and vascular trauma health care delivery to be more streamlined.
format Article
id doaj-art-e9a7b3ae59b241dd92ddd8bdfd6ab5e7
institution Kabale University
issn 2949-9127
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series JVS-Vascular Insights
spelling doaj-art-e9a7b3ae59b241dd92ddd8bdfd6ab5e72025-08-20T03:41:26ZengElsevierJVS-Vascular Insights2949-91272025-01-01310026810.1016/j.jvsvi.2025.100268Narrative review on applications of artificial intelligence in vascular traumaZachary Tran, MD0Michael C. Wilkinson, MD1Glenn Guardamondo, MD2Mohamed H. El-Farra, MD, MS3Allan B. Peetz, MD4Roger T. Tomihama, MD, MBA5Sharon C. Kiang, MD6Section of Surgical Sciences, Division of Acute Care Surgery, Department of Surgery, Vanderbilt University Medical Center, Nashville, TNDivision of Vascular Surgery, Department of Surgery, Loma Linda University School of Medicine, Loma Linda, CA; Center for Artificial Intelligence and Vascular Engineering, Division of Vascular Surgery, Department of Surgery, VA Loma Linda Healthcare System, Loma Linda, CADivision of Vascular Surgery, Department of Surgery, Loma Linda University School of Medicine, Loma Linda, CADivision of Vascular Surgery, Department of Surgery, Loma Linda University School of Medicine, Loma Linda, CASection of Surgical Sciences, Division of Acute Care Surgery, Department of Surgery, Vanderbilt University Medical Center, Nashville, TNDepartment of Radiology, Section of Interventional Radiology, VA Long Beach Healthcare System, Long Beach, CADivision of Vascular Surgery, Department of Surgery, Loma Linda University School of Medicine, Loma Linda, CA; Center for Artificial Intelligence and Vascular Engineering, Division of Vascular Surgery, Department of Surgery, VA Loma Linda Healthcare System, Loma Linda, CA; Correspondence: Sharon C. Kiang, MD, Center for Artificial Intelligence and Vascular Engineering, Division of Vascular Surgery, Department of Surgery, VA Loma Linda Healthcare System, 11201 Benton St, Loma Linda, CA 92357; Division of Vascular Surgery, Department of Surgery, Loma Linda University School of Medicine, 11175 Campus St, Ste 21123, Loma Linda, CA 92350Objective: Artificial intelligence (AI) applications in vascular trauma are vast and revolutionizing the approach to patient care. AI has demonstrated to have potential to aid in complex medical decision-making across the continuum of trauma care from injury prognostication and prehospital triage, to initial evaluation and postoperative surveillance. AI’s transformative footprint is guiding the way in the era of “big data.” The present review seeks to provide a comprehensive overview of the current applications of AI in vascular trauma management, provide awareness for future directions in this field, and discuss limitations to its widespread adoption. Methods: A narrative review of full text articles evaluating AI-based interventions in vascular trauma from inception to 2025 was performed. Results: Our review focuses on the AI applications in vascular trauma in three specific domains of vascular trauma: blunt cerebrovascular injury, traumatic amputation and peripheral arterial injury, and blunt thoracic aortic injury. Present work thus far has focused on outcome prognostication compared with pre-existing and historic models. We also describe several studies that discuss leveraging AI’s strengths in identifying injury risk factors that may not be readily clinically apparent. Advances in computational surgery with the aid of AI in complex endovascular repair has improved precision that has seen promise in improving outcomes. Future applications of AI may help improve trauma resuscitation, access to care, and survivorship. Current limitations to widespread adoption include the need for integration into time-sensitive clinical care processes, lack of familiarity, and the required technical expertise to build and maintain AI models. Conclusions: Current applications of AI in vascular trauma have demonstrated important utility to benefit patient care with a wide range of influence. As current barriers are addressed, clinicians can expect AI applications in vascular trauma to flourish and vascular trauma health care delivery to be more streamlined.http://www.sciencedirect.com/science/article/pii/S2949912725000856Artificial intelligenceBlunt thoracic injuryMachine learningTraumaVascular trauma
spellingShingle Zachary Tran, MD
Michael C. Wilkinson, MD
Glenn Guardamondo, MD
Mohamed H. El-Farra, MD, MS
Allan B. Peetz, MD
Roger T. Tomihama, MD, MBA
Sharon C. Kiang, MD
Narrative review on applications of artificial intelligence in vascular trauma
JVS-Vascular Insights
Artificial intelligence
Blunt thoracic injury
Machine learning
Trauma
Vascular trauma
title Narrative review on applications of artificial intelligence in vascular trauma
title_full Narrative review on applications of artificial intelligence in vascular trauma
title_fullStr Narrative review on applications of artificial intelligence in vascular trauma
title_full_unstemmed Narrative review on applications of artificial intelligence in vascular trauma
title_short Narrative review on applications of artificial intelligence in vascular trauma
title_sort narrative review on applications of artificial intelligence in vascular trauma
topic Artificial intelligence
Blunt thoracic injury
Machine learning
Trauma
Vascular trauma
url http://www.sciencedirect.com/science/article/pii/S2949912725000856
work_keys_str_mv AT zacharytranmd narrativereviewonapplicationsofartificialintelligenceinvasculartrauma
AT michaelcwilkinsonmd narrativereviewonapplicationsofartificialintelligenceinvasculartrauma
AT glennguardamondomd narrativereviewonapplicationsofartificialintelligenceinvasculartrauma
AT mohamedhelfarramdms narrativereviewonapplicationsofartificialintelligenceinvasculartrauma
AT allanbpeetzmd narrativereviewonapplicationsofartificialintelligenceinvasculartrauma
AT rogerttomihamamdmba narrativereviewonapplicationsofartificialintelligenceinvasculartrauma
AT sharonckiangmd narrativereviewonapplicationsofartificialintelligenceinvasculartrauma