N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and OrthopedicsВестник травматологии и ортопедии им. Н.Н. Приорова0869-86782658-6738Eco-Vector64264710.17816/vto642647ReviewsОбзорыReview ArticleProspects for the generative artificial intelligence application in surgery, traumatology and orthopedicsПерспективы использования генеративного искусственного интеллекта в хирургии, травматологии и ортопедииhttps://orcid.org/0000-0003-1314-28871402-5186NazarenkoAnton G.НазаренкоАнтон Герасимович
Russian Federation

MD, Dr. Sci. (Medicine), рrofessor RAS

д-р мед. наук, профессор РАН

NazarenkoAG@cito.priorov.ruhttps://orcid.org/0000-0002-8745-61952037-7164KleimenovaElena B.КлеймёноваЕлена Борисовна
Russian Federation

MD, Dr. Sci. (Medicine), рrofessor

д-р мед. наук, профессор

KleymenovaEB@cito-priorov.ruhttps://orcid.org/0000-0002-2380-23946321-6733KakabadzeNodari M.КакабадзеНодари Малхазович
Russian Federation
KakabadzeNM@cito-priorov.ruhttps://orcid.org/0000-0003-0039-943X3378-7234MolodchenkovAlexey I.МолодченковАлексей Игоревич
Russian Federation

Cand. Sci. (Engineering)

канд. тех. наук

aim@isa.ruhttps://orcid.org/0000-0003-1357-00561910-0484YashinaLiubov P.ЯшинаЛюбовь Петровна
Russian Federation

Cand. Sci. (Biology)

канд. биол. наук

YashinaLP@cito-priorov.ruPriorov National Medical Research Center for Traumatology and OrthopedicsНациональный медицинский исследовательский центр травматологии и ортопедии им. Н.Н. ПриороваFederal Research Center «Computer Science and Control» of the Russian Academy of SciencesФедеральный исследовательский центр «Информатика и управление» РАНPeoples’ Friendship University of RussiaРоссийский университет дружбы народов17032025150220253212212390612202409122024Copyright ©; 2025, Eco-VectorCopyright ©; 2025, Эко-Вектор2025Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://journals.eco-vector.com/0869-8678/article/view/642647

The review considers the use of generative artificial intelligence technologies in surgery, traumatology and orthopedics. Definitions of key generative artificial intelligence technologies are given, as well as the difference between discriminative and generative models of artificial intelligence. An analysis of publication activity on the use of generative artificial intelligence in surgery, traumatology and orthopedics in world macroregions is conducted. The potential role of various generative artificial intelligence models at the preoperative, intraoperative and postoperative stages of healthcare is analyzed. Data on the results of clinical application of generative artificial intelligence and the most common problems associated with the practical use of various generative artificial intelligence applications are provided including issues of quality and safety of surgical care. The review proposes potential solutions and research directions to address these problems.

В обзоре рассматривается использование технологий генеративного искусственного интеллекта в хирургии, травматологии и ортопедии. Даны определения ключевых технологий генеративного искусственного интеллекта, а также отличия дискриминативных моделей искусственного интеллекта от генеративных. Проведён анализ публикационной активности по применению генеративного искусственного интеллекта в хирургии, травматологии и ортопедии по макрорегионам мира. Проанализирована потенциальная роль различных моделей генеративного искусственного интеллекта на предоперационном, интраоперационном и послеоперационном этапах лечения пациентов. Приводятся данные о результатах клинического применения генеративного искусственного интеллекта в указанных областях и наиболее распространённые проблемы, связанные с практическим использованием различных приложений генеративного искусственного интеллекта, включая вопросы обеспечения качества и безопасности хирургической помощи. В обзоре предлагаются потенциальные решения и направления исследований для решения этих проблем.

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